Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 10 Supp. 2 2024 05 15 631 633 Alireza Babajani Department of Anesthesiology, Allied Medical School, Iran University of Medical Sciences, Tehran, Iran. Tina Mohebi Nurse Anesthetist Izeh Hospital, Jundishapur University of Medical Sciences, Ahvaz, Iran. Mahnosh Ahmadi Nurse Anesthetist Izeh Hospital, Jundishapur University of Medical Sciences, Ahvaz, Iran. Ahang Karimi Department of Anesthesiology, Intensive care and Pain, Shariaty Hospital, Tehran university of Medical Sciences, Tehran, Iran. 2024 04 07 2024 04 24 A 34-year-old woman was admitted for an emergency cesarean section at 38 weeks of pregnancy. She had no previous surgeries or illnesses. During the pre-operative evaluation, the anesthesia team noticed that the patient had not fasted. However, they decided to use spinal anesthesia for the emergency procedure. While preparing for the spinal examination, they discovered a large mass of hair covering the 3rd, 4th, and 5th lumbar vertebrae. Despite the emergency situation, the absence of fasting, and the risk of aspiration, the anesthesia team carefully considered all aspects of the patient's safety and decided to proceed with spinal anesthesia. https://aacc.tums.ac.ir/index.php/aacc/article/view/981