Malignant hyperthermia (MH) is a very rare life threatening condition. It has an incidence of 1:4,500 to 1:60,000 patients undergoing general anaesthesia. Disorder occurs worldwide and affects all racial groups. Clinical MH produces rapidly increasing body temperature and extreme acidosis as a result of acute loss of control of intracellular calcium levels and compensatory uncontrolled increases in skeletal muscle metabolism that may proceed to severe rhabdomyolysis. MH has a mortality rate of about 10%. We report a rare case of 59 year old male patient with history of malignant hyperthermia posted for laproscopic cholecystectomy and its perioperative management.