Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 9 Supp. 2 2023 09 18 559 561 Hannah Mounika Nunna Department of Anesthesia, Sree Balaji Medical College and Hospital, Bharath University, Chennai, India. Vinod Krishna Gopal Department of Anesthesia, Sree Balaji Medical College and Hospital, Bharath University, Chennai, India. Purushotham G Department of Anesthesia, Sree Balaji Medical College and Hospital, Bharath University, Chennai, India. 2022 09 15 2022 12 10 Hot water Epilepsy (HWE) is a type of epilepsy which occurs when hot water is poured over the body. Patient undergoing implant exit removal of tibia was intra operatively managed who has the history of corrected VSD and hot water epilepsy. https://aacc.tums.ac.ir/index.php/aacc/article/view/641