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Steroids are a widely used group of drugs in anaesthesia practice, sometimes with definite indication and sometimes without indication. When used judiciously they have proved to be of immense help. There has been a renewed interest in the use of steroids in modern day perioperative medicine. In the following article the recent trends, relevance and consensus issues on the use of steroids as adjunct pharmacological agents in relation to anaesthesia have been discussed, along with emphasis on important clinical aspects of their perioperative usefulness.