Purpose Oesophageal diverticulum is a relatively rare disorder of the oesophagus in which there is an outpouching of the oesophageal mucosa. There are a few types characterised by their anatomical location with a Killian-Jamieson diverticulum (KJD) being the rarest. A KJD arises distal to the cricopharyngeal muscle, distinguishing it from the more commonly known, Zenker's diverticulum which arises above the cricopharyngeal muscle. We present a case and intra-operative photos of a 57 year old male who presented with dysphagia and regurgitation of food, found to have a KJD and underwent a successful ligation and excision with just an overnight hospital admission. Methodology A 57-year-old male patient presented with dysphagia alongside regurgitation of undigested food. He had no relevant medical history and no regular medications. Fluoroscopic swallow study revealed a pharyngeal diverticulum consistent with a KJD. Results An operation approach was undertaken with an incision made across the lateral aspect of his neck along the medial border of the sternocleidomastoid muscle with dissection down to the level of the thyroid membrane preserving the left recurrent laryngeal nerve. The oesophageal diverticulum and sac was isolated and the neck ligated prior to excision and oversewing. Post operatively the patient underwent a swallow study which did not show any leak or residual diverticulum and he was discharged just one day post operatively. Conclusion Surgical management is a relatively simple approach which provides patients with definitive management and should be considered in those who present with KJD.