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Neurofibromatosis is a multisystem genetic disorder that is associated with cutaneous, neurologic and orthopedic manifestations. Type 1 neurofibromatosis is characterized by dermatological lesions, such as benign neurofibromas of the skin and cafι-au-lait spot, and is more common than type 2 neurofibromatosis. Anesthesiologists must be aware of and consider each of the multisystemic complications of the disorder when evaluating and managing patients for surgical procedures. Anesthesia for the pregnant patient with neurofibromatosis is not well documented. We report a successful case of spinal anesthesia for cesarean section in a parturient with type 1 neurofibromatosis.