Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 9 1 2023 02 08 74 76 EN Jyoti Deshpande Department of Anaesthesiology, Smt. Kashibai Navale Hospital, Narhe, Pune, India. Sanjana Nashine Department of Anaesthesiology, Smt. Kashibai Navale Hospital, Narhe, Pune, India. 2022 05 11 2022 06 25 Cerebral palsy (CP) refers to a spectrum of nonprogressive neurological disorders with disturbances in posture and movement, resulting from perinatal intrauterine insult to developing infant brain. Many conditions associated with CP require surgery. Such cases pose important gastrointestinal, respiratory, and other perioperative considerations. Anaesthetic management in these cases is delicate. Intraoperative complications including hypovolemia, hypothermia, muscle spasms, seizures, and delayed recovery might complicate the anaesthetic management. A thorough preanesthetic evaluation allows for a better intra- and post-operative care. Perioperative analgesia is important, particularly in orthopaedic surgeries one for pain relief. Here, we have discussed the successful management of a case of spastic CP for orthopaedic lower limb surgery. https://aacc.tums.ac.ir/index.php/aacc/article/view/544