Background: Continuous spinal anesthesia (CSA) is an underutilized technique in modern anesthesia. It allows incremental intermittent dosing of an intrathecal local anesthetic via an intrathecal catheter which allows titration of block level, block of indefinite duration and better hemodynamic stability than single–shot spinal anesthesia (SSA). Our aim is to evaluate ease of use, efficacy and safety of CSA. Case: 91 years male was posted for Right hip resurfacing arthoplasty for right inter trochanteric femur fracture with co morbidity of Squamous cell carcinoma of lungs, CAD with old MI with DCM (EF 15 to 20%) and Heart failure.CSA was used with 0.5ml of 0.5% bupivacaine via intrathecal 20G catheter. Conclusion: Onset was rapid with adequate segmental blockade, better hemodynamic stability and fewer adverse effects. Lack of exposure among younger anesthesiologists has made this technique under used though it has low failure rate and is easy to use.