"Seven Year Ache" is a song written and recorded by American country music artist Rosanne Cash. It was released in February 1981 as the first single and title track from Cash's album of the same name. The song was Cash's first of ten No. 1 hits on the US Country charts and also crossed over to the Billboard Hot 100 and adult contemporary charts.
In 2024, Rolling Stone ranked the song at #73 on its 200 Greatest Country Songs of All Time ranking.
"Seven Year Ache" was Cash's fourth single and her first single released in 1981. Considered her breakthrough recording, the song was Cash's first No. 1 on the Billboard Country Chart, while also crossing over to the Billboard Pop Chart, reaching No. 22. It was also a Top 10 Adult contemporary hit, cresting at No. 6.
The single was issued on Cash's second studio album, Seven Year Ache that year, which also produced the No. 1 hits "My Baby Thinks He's a Train" and "Blue Moon with Heartache."
"Seven Year Ache" has been recorded several times. American country artist Trisha Yearwood recorded a version for her 2001 album Inside Out that featured Cash herself singing background vocals.