Abstract: Congenital heart disease is the most common congenital abnormality, accounting for 4-10 cases per 1000 live births. It is approximately one third of all congenital defects. The incidence of congenital heart disease in children has remained constant over the last few decades. However because the therapeutic options have improved the number of adults with congenital heart disease has steadily increased. And these patients presenting for non cardiac surgery has increased over the years.1 Here we report the anaesthetic management of a 23year old male with atrio-ventricular (AV) discordance and single ventricle who had undergone palliative treatment for congenital heart problem has come for liposuction.