Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 9 Supp. 1 2023 07 25 457 459 Bhavya Krishna Department of Anesthesia, Critical Care and Pain Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. Kavita Sharma Department of Anesthesia, Critical Care and Pain Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. Ranju Gandhi Department of Anesthesia, Critical Care and Pain Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. Siddharth Yadav Department of Urology and Renal Transplant, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India. 2022 08 21 2022 09 10 Pheochromocytoma is a challenging case for any anesthesiologist and a team approach is required throughout the perioperative period to prevent anticipated difficulties and best manage any unforeseen complications that develop. We discuss successful management of certain unique challenges, like multifocal arrhythmias and surgical rebleed during transport, during pheochromocytoma surgery in an adult, in addition to the usual perioperative problems. https://aacc.tums.ac.ir/index.php/aacc/article/view/627