Background: Cardiovascular implantable electronic device (CIED) was first implanted in 1958 and since then, the implantation rate is escalating for various indication mainly symptomatic bradyarrhythmia. However, extraction rate of CIED remained unclear and we reported an interesting case of explanting a 34-year-old permanent pacemaker. Case Report: A 79-year-old gentleman with a Teletronic's permanent pacemaker who defaulted his routine follow up for three decades presented to our center and underwent uneventful removal of his device. Post removal of CIED, he was monitored for a year and remained asymptomatic. Conclusion: Patients need to be educated on post-implantation pacemaker care.
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