drugs cross the placenta and there is a risk of exposure of fetus to these drugs. Thorough understanding of the physiological and pharmacological adaptations to pregnancy is required to ensure maternal safety. As an anesthesiologist, you need to follow these measures before providing anesthesia to such patients: Here, we report a case of 23-year-old female parturient with 8 months of gestation, diagnosed as a case of torsion ovarian cyst, who was posted for emergency laparotomy, which was successfully managed with spinal anesthesia.