Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 8 4 2022 07 29 330 332 Shalvi Mahajan Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh India. Kavita Dugg Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh India. Sanjay Kumar Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh India. Shankey Garg Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh India. 2021 11 24 2022 01 03 Aplastic anemia is rare hematological disorder with approximate incidence 1.5-7 cases per million individuals per year. Osteonecrosis, a frequently seen in patients with aplastic anemia. With improved treatment modalities, the life expectancy of patients with aplastic anemia has increased considerably, so are the patients undergoing surgery for various pathologies. Due to rarity of the diseases, there are no specific formulated guidelines on the anesthetic management of these patients. Here, we describe successful anesthetic management of a young male patient with aplastic anemia who was posted for bilateral hip surgery. https://aacc.tums.ac.ir/index.php/aacc/article/view/445