Benzo[a]pyrene (BaP), an archetypical polycyclic aromatic hydrocarbon, is classified as “carcinogenic to humans” and is ubiquitous in the environment, as evident by the measurable levels of BaP metabolites in virtually all human urine samples examined. BaP carcinogenicity is believed to occur mainly through its covalent modification of DNA, resulting in the formation of BPDE-N2-dG, an adduct formed between deoxyguanosine and a diol epoxide metabolite of BaP, with subsequent mutation of critical growth control genes. In spite of the LC-MS based detection of BPDE-N2-dG in BaP-treated rodents, and indirectly through HPLC-fluorescence detection of BaP-7,8,9,10-tetraols released from human DNA upon acid hydrolysis, BPDE-N2-dG adducts have rarely if ever been observed directly in human samples using LC-MS techniques, even though sophisticated methodologies have been employed which should have had sufficient sensitivity. With this in mind, we developed an LC-ESI-MS/MS methodology employing high resolution/accurate mass analysis for detecting ultra-trace levels of these adducts. These efforts are directly translatable to the development of sensitive detection of other small molecules using trap-based LC-ESI-MS/MS detection. The developed methodology had an LOD of 1 amol of BPDE-N2-dG on-column, corresponding to 1 BPDE-N2-dG adduct/1011 nucleotides (1 adduct/10 human lung cells) using 40 μg of human lung DNA. To our knowledge, this is the most sensitive DNA adduct quantitation method yet reported, exceeding the sensitivity of the 32P-postlabeling assay (~1 adduct/1010 nucleotides). 29 human lung DNA samples resulted in 20 positive measurements above the LOD, with smoker and non-smoker DNA containing 3.1 and 1.3 BPDE-N2-dG adducts/1011 nucleotides, respectively.