Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 9 Supp. 1 2023 08 12 463 466 EN Jyoti Deshpande Department of Anaesthesiology, SKNMC & GH, Pune, India. Merlin Jacob Department of Anaesthesiology, SKNMC & GH, Pune, India. Priyanka Gangthade Department of Anaesthesiology, SKNMC & GH, Pune, India. 2022 07 19 2022 08 13 Parathyroid adenomas are usually an incidental finding and present more commonly in women. The parathyroid gland releases parathyroid hormone(PTH), which is essential to maintain calcium homeostasis. Hence, the removal of parathyroid glands will result in hypocalcemia and if not treated could be life threatening. We present the case of a young female patient who presented with vague complaints and was evaluated and diagnosed with primary hyperparathyroidism. She was optimized and taken for surgical removal of parathyroid glands. The anesthetic considerations in the perioperative period and an intraoperative event during positioning are mentioned herewith. https://aacc.tums.ac.ir/index.php/aacc/article/view/608