Abstract
Background: Pregnancy in dwarfism generally present with contracted pelvis and cephalopelvic disproportion. Cesarean section is generally indicated for deliver. However, Anaesthesia management in dwarf pregnant patient is difficult and challenging as they are other concurrent conditions like atlanto-axial instability, spine deformities like kyphoscoliosis and narrowed pharynx leading to higher risk for both general as well as regional anaesthesia. Here, we are presenting a successful case of anaesthesia management in dwarf patient with failed spinal anaesthesia and unanticipated difficult airway for emergency cesarean section.