In chronic non-fluent aphasia ( nfA ) patients, inhibitory transcranial magnetic stimulation (TMS) protocols applied over intact right hemisphere (RH) can induce improvement in language functions. Increased activation of preserved left hemisphere (LH) language networks secondary to reduced RH transcallosal inhibition is supposed mechanism. It is unknown whether direct stimulation of LH coupled with inhibition of homologue RH areas might bring similar or even greater effects. Patient was 63-year-old right-handed man who 17 moths earlier suffered an ischemic stroke in left middle cerebral artery territory which caused damage in left fronto-temporo-parietal white matter but with relative sparing of cortex. The stroke caused right hemiparesis and severe nfA (one monosyllabic word phrase length). He had an initial rehabilitation program, including speech and language therapy, during first 2 months following stroke, at a specialized residential rehabilitation facility, followed by a fairly regular physiotherapy sessions at a community medical center. He has regained considerable mobility of right limbs, but speech has recovered poorly. Experimental treatment consisted of a series of 15 daily sequential bilateral TMS sessions: inhibitory protocol, continuous theta burst stimulation (cTBS), over RH Broca’s area homologue followed by a facilitatory protocol, intermittent TBS (iTBS), over LH Broca’s area. During iTBS, short bursts of high-frequency stimulation (3 pulses of 80% aMT intensity at 50 Hz) were applied at 5 Hz every 10s, with 2s train duration and 8s inter-train interval, for a total of 600 pulses during 3.5 min of stimulation. The cTBS was the same except that short bursts of high-frequency stimulation were applied continuously (600 pulses in total). In parallel with TMS treatment, as well as for 2 weeks before and 2 weeks after, patient received standard individualized speech and language rehabilitation therapy. The Boston Naming Test (BNT) and Boston Diagnostic Aphasia Examination (BDAE) were used to measure linguistic performance, while Rey Auditory Verbal Learning Test (RAVLT) was used for assessment of verbal memory and learning. Neuropsychological testing was carried out for the first time within a week before the first TMS treatment session (baseline test-T0) followed by three re-tests. First re-test (T1) was in the middle of the 2nd week of the TMS treatment, second re-test (T2) was within a week of completing the TMS treatment, and third re-test (T3) was two months later. Naming (the BNT score) increased from 17 pictures named at T0 to 21 at T3. However, the greatest improvement occurred in elicited propositional speech (Cookie Theft picture from BDAE). The number of words per phrase used for picture description increased from 2 at T0 to 8 at T3. The performance on semantic verbal fluency task (i.e. the number of animal names generated within a 2-min period) improved greatly, as well, from 5 at T0 to 10 at T3. The number of correct commands performed increased from 8 at T0 to 14 at T3. In addition, significant improvements were observed in short-term verbal memory and verbal learning. Described sequential bilateral physiologically balanced TMS modulation of activation of the language related areas of both hemispheres may result in considerable and rather fast language benefits in chronic nfA patients. Whether this approach is better than usual unilateral stimulation requires further studies.