Although gout is a common disease, patients with tophi are infrequently clinically examined. In this case report, a 40-year-old man presented with multiple nodules in both soles. The nodules, gouty tophus, were diagnosed following pathological examination, and multiple gouty tophi in both soles is a rare condition. The take-home message is that subcutaneous nodular lesions in soles need to be considered during evaluation.