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We present a case of a primigravida with kyphoscoliosis and pneumonia posted for emergency cesarean section. She had a Cobb′s angle of 120° and exertional dyspnea. Epidural anesthesia was successfully used for anesthesia and postoperative analgesia. This report highlights the anesthetic challenges and the importance of early planning of anesthetic technique for successful intraoperative management of a kyphoscoliosis patient.