SummaryBrugada syndrome is a distinct form of an arrhythmic disease affecting ionic channels of the heart. We report the anesthetic management of a patient with Brugada syndrome for inguinal hernia repair which was managed satisfactorily with combined light anesthesia, hypnosis with indirect suggestions and transversus abdominis plane block. KeywordsAnesthesia, Brugada syndrome, Hypnosis, Transversus abdominis plane block found a Brugada syndrome but there was no history of angina, syncope and the effort tolerance was about eight Metabolic Equivalents (METS). Family history was negative for Brugada syndrome and for sudden cardiac death. The patient had no history of abnormal clinical bleeding and was not taking any medications. His ASA physical status classification was 2.Brugada syndrome was diagnostic in 2014 because of a chest pain during night. His investigations were within normal limit except surface electrocardiogram that found ST segments < 1 mm with saddle-type pattern (Brugada type 2). A provocative drug test with intravenous administration of ajmaline induced type 1 ECG morphology with ST-segment elevation > 2 mm).Because he has a Brugada syndrome type 2 with no history of ventricular fibrillation or syncope and no family history of sudden cardiac death, cardioverter defibrillator was not implanted [1][2][3].Monitoring consisted of ECG with continuous ST segment analysis, a pulse oximeter and non-invasive blood pressure measurement. He was connected to Oxygen 2 L/min with nasal cannula and an external defibrillator pads with an external defibrillator was placed. Venous puncture (18G) was performed. After premedication with midazolam (1 mg), a TAP block was performed with 1% lidocaine adrenaline with ultrasound guidance and a total dose of 200 mg was injected. In addition to that, anesthetists nurse started hypnosis giving permissive and indirect suggestions of well-being. Even though