Although bipartite patella is accepted as a normal anatomic variant, it might occasionally cause anterior knee pain. The symptomatic bipartite patella can primarily benefit from conservative methods. However, all conservative treatment methods may fail in some cases, and surgical treatment may be necessary in these refractory cases. Herein, a 26-year-old male patient with symptomatic bipartite patella is presented. Despite using anti-inflammatory medications, rest, ice application, and activity modification, the patient’s complaints did not regress at the 6-month follow-up. Open surgical excision of the fragment was performed, and the patient returned to his routine daily activities without restriction. Since refractory symptomatic bipartite patella is rare, there has yet to be a consensus on the optimal surgical treatment method. This article aims to present an extensive literature search to discuss all aspects of surgical treatment of symptomatic bipartite patella.