Abstract: Liposuction has nowadays become a popular procedure amongst all age groups. Because of the advances in the field of Plastic Surgery and Anesthesia, it is now a fast and safe surgery and delivers good results. But Anesthesiologists must be very vigilant when they are involved in such cases. What an Anesthesiologist must not forget is that the most of the times, the person undergoing liposuction is not a patient. It’s a cosmetic procedure. The patient should be well optimized and one should never hesitate to postpone a case if there is slightest of an issue. Pre operative optimization, intraoperative management which includes hemodynamic stability, fluid balance, pain relief, euthermia, documenting input/output and good post operative care can help in preventing catastrophes to happen which if one goes through the literature is not uncommon.