 in the summer of 2003, albeit interest from several lesser Serie A clubs, as well as a host of Serie B club, however, in July 2003, he joined then-Serie B club, U.S. Città di Palermo.In the summer of 2003 Terlizzi transferred to U.S. Città di Palermo, where he made 12 first team appearances in his first season, helping the club gain promotion to the Serie A.He made his Serie A debut at the age of 25, during the 2004–05 season.