A 45-year-old woman presented with kissing aneurysms located at the junctions of the internal carotid artery and the duplicate anterior choroidal arteries manifesting as acute subarachnoid hemorrhage. The aneurysms were clipped during temporary occlusion of the internal carotid artery. Surgery for kissing aneurysms requires special consideration including analysis of the anatomical relationship before clipping, control of premature rupture during clipping, and preservation of the patency of the two anterior choroidal arteries after clipping.