A bone anchoring device includes a bone anchoring element having a shaft to be anchored in the bone and a head, a receiving part for receiving a rod to be connected to the bone anchoring element, and a pressure member acting onto the head to lock the position of the head relative to the receiving part, the receiving part is formed in one piece and includes an open first bore with a first bore axis, a recess shaped and sized to receive a rod having a longitudinal axis, and a second bore having a second bore axis. The second bore is in communication with the first bore and is sized to receive the head with a part of the shaft extending through the second bore. The second bore axis includes an angle of approximately 90° with a plane defined by the first bore axis and the longitudinal axis of the rod.