Scimitar syndrome is a rare association of congenital cardiopulmonary anomalies consisting of a partial anomalous pulmonary venous connection of the right lung (part or the entire right lung) to the inferior vena cava, right lung hypoplasia, dextroposition of the heart, and anomalous systemic arterial supply to the right lung. Anaesthesia management of pregnant patients with Scimitar syndrome is challenging due to coexisting congenital heart disease. The literature on anaesthesia management of patients with Scimitar syndrome undergoing Elective cesarean section is rare and hence authors wish to share their experience of anaesthesia management of a case of Scimitar syndrome posted for elective cesarean in a rural area hospital.