Introduction: Some patients suffer recurrent syncope following cardioneuroablation (CNA) for vasovagal syncope (VVS), yet no cases of repeat CNA have been described in detail. Methods and Results: Our present patient suffered a recurrence seven months following successful CNA and wished for a repeat CNA. Pre-procedurally, she lacked an atropine response. During CNA, high-frequency stimulation (HFS) at ganglionated plexi (GP) would not trigger cardioinhibitory events. Ablation was delivered based on anatomy and fractionation mapping, producing characteristic tachycardia at 2 GP sites. Conclusion: Repeat CNA is feasible and safe, and characterized by unique physiology.