Gallstone disease is extremely common in Western societies, with cholecystectomy being the standard treatment for patients with symptomatic gallstones. The incidence of common bile duct stones (CBD) with concomitant gallstones increases with age from 8 to 15% in patients younger than 60 years and up to 60% in the elderly. There are only a few reports of gallstones after cholecystectomy in the literature. Most of these reports describe the presence of stones in the gallbladder/cystic duct remnant or secondary to migration of the surgical clips. We report a single unique case of primary bile duct stones 7 years after open cholecystectomy.