The patient is a 19 year old man from Kerman. His chief complain is dysphagia and a stabbing unilateral sore throat for the past two years. His other symptoms are painful sensation in the right tonsilar fossa, painful deglutioon and sensation of pain which increases and radiates during speaking, physical excretion and deep breathing . Patient admitted that he has had several periods of hospitalization , and a tonsillectomy operation. Physical examination of ENT reveals no pathological findings, however in lateral radiography of the neck, an elongated styloid process was observed. Therefore the patient underwent resection surgery ( trans- tonsillar- fossa approach) with the diagnosis of elongated styloid process. A week later all of the symptoms were resolved and the patient was released from the hospital.