Knouse et al. describe a high-specificity analytical approach for the detection of megabase-scale copy number variants (CNVs) in single somatic cells. Applying their approach to single-cell sequencing data from brain and skin cells, the authors detected CNVs exceeding 5 Mb in 8–9% of somatic cells across tissues. Notably, two recurrent CNVs were identified across individuals. In germline cells, megabase-scale CNVs are present in 1% of individuals and are often associated with disease. By contrast, this study shows that large CNVs are tolerated and relatively prevalent in somatic cells.