Lyme disease, also known as Lyme borreliosis, is caused by Borrelia bacteria. In Europe, 0.3–4% of untreated cases end up with cardiovascular complications known as Lyme carditis which are often associated with atrioventricular conduction disorders. We present the case of a 26-year-old male who was diagnosed with a complete atrioventricular block in the course of Lyme carditis. After a full course of antibiotic therapy, the block did not resolve, so the patient was qualified for permanent pacing. In the course of the procedure, the left bundle branch area pacing was achieved with no early or long-term complications. This is the first reported case of a left bundle branch area pacing in the atrioventricular complete block due to Lyme carditis.