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Primary hyperparathyroidism (PHPT) is rare in children. The most common cause of PHPT is parathyroid adenoma, which occurs either sporadically or as part of the syndrome (the most common being multiple endocrine neoplasia syndrome). The clinical presentation is often vague with nonspecific symptoms involving the gastrointestinal, renal, musculoskeletal, and central nervous systems making the diagnosis challenging. Biochemical profiles and modern imaging techniques are the mainstay for diagnosing the condition, planning the right treatment, and for perioperative management. Herein, we present a case of PHPT who presented to us with all the classical symptoms of hypercalcemia described as “Bones, Stones, Groans, and Moans.”