Cardiac resynchronization therapy (CRT) has become the mainstay of refractory heart failure treatment. Usually the patients having right bundle branch block (RBBB) on electrocardiogram are considered as relative contraindication as there is no or minimal dyssynchrony in them. We present a case where CRT was put in as last resort in a patient with RBBB and was successful. Short literature review is done on the CRT implantation in patients with RBBB.