Electroacupuncture (EA) is commonly used for pain relief, with good results even in persistent chronic pain. However, published reports suggest that EA should not be used in patients who have pacemaker, since there is a theoretical risk of malfunction of the pacemaker. The case is described of a 50-year-old female patient, who has had severe low back pain resistant both to conventional and unconventional treatment methods. The only treatment that seemed to have some positive effect, but of extremely short duration, was acupuncture. Her condition deteriorated considerably, and after due consideration she was treated with EA. Even after the first EA treatment, the patient's condition improved. Since then, she has received many EA courses during the past 2 years without any complications or side effects. The results of this case study suggest that EA might be a safe alternative for patients with a pacemaker, confirming the current recommendations on use. Every patient should be considered with care, individually.