Systemic lupus erythematous is a multisystem and multiorgan disease that, in some patients, causes tendon and ligament degeneration that may lead to rupture. Early treatment is generally preferred but sometimes good results are achieved in chronic lesions. Bilateral failure of the same structure has been described very rarely.We report the case of a woman with chronic lupus and bilateral asynchronous Achilles tendon lesions. Good short-term clinical results were obtained despite late surgery and lupus chronicity.