The confrontations between Lekhwiya and Al Gharafa commenced from the very first season when Lekhwiya qualified for the Qatar Stars League (2010/2011).
 
Since the time of Lekhwiya's debut, Al Gharafa achieved only one victory, which was the first direct encounter between both sides in the first leg of the 2010/2011. Al Gharafa won by two goals from Younis Mahmoud and Clemerson.
 
Lekhwiya won the second leg fixture by one goal which was scored by Karim Boudiaf. Lekhwiya continued their winning in the 2011/2012 season by clinching the first leg by two goals and goalless tie in the second leg.
 
During the 2012/2013 season both teams by one goal each, while Lekhwiya won the second leg fixture by two goals to one. In the
2013/2014 season, Lekhwiya defeated Al Gharafa  both home and away 3-0 and 1-0.
 
Lekhwiya continued in the same vein winning the first leg of the
2014/2015 season 3-2 while both side drew in the second leg (1-1).
 
Their clash during the on-going QSL season ended in a 1-1 draw.