In this study, lidocaine-tetraphenylborate (LD-TPB) ion-pair was synthesized using lidocaine hydrochloride (LD.HCl) and sodium tetraphenylborate (NaTPB), and a new all-solid-state type polyvinyl chloride (PVC)-membrane lidocaine-selective (LD-selective) potentiometric microsensor was developed by using this ion-pair as ionophore material in the PVC-membrane structure. The potentiometric performance characteristics of the LD-selective microsensor were investigated. The response time of the proposed microsensor was determined as ≤ 12 s, and the detection limit was determined as 5.49 × 10−7 mol.L−1. The microsensor showed no significant drift in its potentials over seven weeks and showed a Nernstian response with a slope of 59.1 ± 0.7 mV/decade (R2: 0.9995) in the concentration range of 1.0 × 10−6 to 1.0 × 10−1 mol.L−1 for LD.HCl. It was determined that the microsensor had optimum performance in the pH range of 4.0–7.0. The LD-selective microsensor was successfully used for the potentiometric determination of LD.HCl in pharmaceutical samples. The potentiometric results were statistically compared with the results obtained by the UV–Vis spectroscopy method. The potentiometric results obtained were found to be in good agreement with the results obtained by the UV–Vis spectroscopy method at the 95% confidence level.