Hypoparathyroidism is a rare endocrine disease that is commonly found following anterior neck surgery. The case of permanent hypoparathyroidism occurring years after surgery is even more exceptional; therefore, it is highly potential to be left undiagnosed and thus untreated. The goal of treatment in hypoparathyroidism is to maintain the blood calcium level near the low end of the normal range while preventing symptoms of hypocalcemia. The most recent treatment also includes parathyroid hormone therapy. We present a case of a 63-year-old male presenting with vertebral fracture as a complication of hypoparathyroidism diagnosed 3 years after total thyroidectomy. He also had chronic hypocalcemia refractory to calcium and active Vitamin D supplementary. The patient was then treated with routine subcutaneous Teriparatide injection with a satisfying outcome. Serum calcium level was maintained within normal range and other symptoms of hypocalcemia resolved.