This study identified BRAF mutations in patients with hairy cell leukemia (HCL). The BRAF V600E mutation was present in all HCL patients tested, leading to overactive BRAF signaling and increased cell proliferation. Immunohistological and Western Blot tests found constitutive activation of the RAF-MEK-ERK pathway in HCL cells. A BRAF inhibitor reduced phosphorylation of MEK and ERK, indicating BRAF drives HCL pathogenesis. Identifying this genetic mutation improves understanding of HCL and could inform future treatment development.