Complete heart block is an abnormality of conduction system in the heart. Complete heart block in pregnancy is not a common event and  it may be congenital or acquired At the present time, a patient with a pacemaker who undergoes an anaesthesia for a surgical procedure is very common, but a parturient with a permanent pacemaker scheduled for elective caesarean section (c/s) is very rare For caesarean section, because of destabilized cardiovascular adaptation, an anaesthesiologist must focus on detecting the early signs of compromised cardiac output in order to avoid maternal as well as fetal distress. . We present a case report in managing the parturient installed  with non–rate response type pacemaker undergoing C/S under epidural  along with general anaesthesia