Ischiogluteal bursitis is an uncommon disorder, characterized by pain over the center of the buttock that may radiate down the leg. We report a case of 83-year-old man had metachronous bilateral ischiogluteal bursitis, with both instances of bursitis occurring within a 6-month period. He underwent surgical excision twice. The case highlights the importance of the prevention of recurrence or contralateral involvement after successful treatment.