Aphasia is a debilitating condition that most commonly occurs after stroke. The greatest progress in aphasia recovery is believed to generally occur during the first year post stroke onset. Consequently, most studies have been designed to examine aphasia recovery during the first year and studies have generally not looked beyond that endpoint. To date a number of group studies, cases series and case reports of post-stroke aphasia recovery show significant and continuous improvements across multiple language modalities and beyond one year. This review is designed to explore the literature related to post-stroke aphasia recovery after one year. The collective evidence suggests long-term recovery of post-stroke aphasia can occur in some individuals and additional research is needed to identify the factors most predictive of longer-term recovery patterns.