Killian-Jamieson (K-J) diverticulum is a true oesophageal diverticulum. It is a rare cervical oesophageal diverticulum and is infrequently encountered compared with Zenker's diverticulum. They are located just below the cricopharyngeal muscle, anteriorly and laterally, as a left sided or less commonly bilateral outpouching from the cervical oesophagus. In this report, we present a case of a 35-year-old male who presented with difficulty in swallowing, blocking sensation in the throat and sensation of lump in the neck since 3 years which is symptomatic Killian Jamieson diverticulum that distinguishes it from the more common Zenker's diverticulum. Killian-Jamieson diverticulum differs from Zenker's diverticulum in its location and mechanisms.