We would like to report a case of parturient with complete heart block on permanent pacemaker who underwent elective cesarean section under combined spinal epidural anesthesia uneventfully. Parturient with complete heart block may be completely asymptomatic but are at a increased risk of sudden cardiovascular collapse, especially during labour. Permanent pacemaker insertion also imposes certain problems during the surgery. Maintenance of heart rate and rhythm is of particular importance in these cases. .