Anesthetic management of a patient with dilated cardiomyopathy (DCM) undergoing noncardiac surgery poses a challenge to the anesthesiologist as there is risk of precipitating congestive heart failure or malignant arrhythmias. The anesthesiologist must have the knowledge of its pathophysiology, clinical presentation, diagnostic evaluations, and more so regarding various drugs used during anesthesia. We report a case of DCM with severe left ventricular (LV) dysfunction posted for right inguinal hernia repair managed successfully with epidural anesthesia using ropivacaine.