This research represents a contribution to the theory on the coupling of the volcanic activity and the ionospheric dynamics, represented by total electron content (TEC) patterns and their behaviour. The ionospheric response to the activity of the Etna volcano has been analysed using global navigation satellite system (GNSS)-derived TEC values, employing data from International GNSS Service (IGS) reference station near the volcano and on two distant IGS locations. Volcanic activity has been modelled using volcanic radiative power (VRP) data obtained by the Middle InfraRed Observation of Volcanic Activity (MIROVA) system. The estimated minimal night TEC values have been averaged over defined index days of the VRP increase. During the analysed period of 19 years, the volcano activity was categorised according to pre-defined criteria. The influence of current space weather and short-term solar activity on TEC near the volcano was systematically minimised. The results showed mean/median TEC increases of approximately +3 standard deviations from the overall mean values, with peak values placed approximately 5 days before the VRP increase and followed by general TEC depletion around the time of the actual volcanic activity increase. Additionally, TEC oscillation pattern was found over the volcano site with a half-period of 6.25 days. The main interpretation of results indicates that the volcanic activity has modified the ionospheric dynamics within the nearby ionospheric region before the actual VRP increase, and that the residual impact in the volcano’s surrounding area refers to terrestrial endogenous processes and air–earth currents. Those changes can be detected during criteria predefined in the research: during quiet space weather conditions, observing night-time TEC values and within the limits of low short-term solar influence.