Let 
 be an integer which is not a square and 
 be the 
th solution of the Pell equation 
. Given an interesting set  of positive integers 
, we ask how many positive integer solutions 
 can the equation 
 have. We show that under mild assumptions on 
 (for example, when  
 and 
 contains infinitely many even integers), then the equation 
 has two solutions 
 for infinitely many 
. We show that this is best possible whenever  
 is the set of values of a binary recurrent sequence 
 with real roots and 
 is large enough (with respect to 
). We also show that  for the particular case when 
, the equation 
 has at most two positive integer solutions 
 for all 
. The proofs use linear forms in logarithms. This is joint work with Bernadette Faye.