Femoral hypoplasia-unusual facies syndrome (FHUFS) or femoral facial syndrome is a rare congenital syndrome characterized by unilateral or bilateral femoral hypoplasia along with various dysmorphic facial features such as a short nose with a broad tip, a long philtrum, a thin upper lip, upward slanting palpebral fissures, and micrognathia. 1,2 Thorough physical and airway examination is necessary because FHUFS can also present with Pierre Robin sequence. 3 The etiology of FHUFS is unknown with a prevalence of <1/1,000,000. 4 FHUFS mirrors caudal regression syndrome or sirenomelia, which occurs due to insufficient mesoderm in the caudal area of the embryo. Caudal dysplasia results in lumbosacral defects, lower limb dysplasia, and renal agenesis, but it lacks any facial anomalies. A disruption of normal carbohydrate homeostasis during