We report a case of an adult male patient with end stage renal disease having a congenital ventricular septal defect (VSD) who underwent renal transplant. The procedure was carried out under central neuraxial block- combined sub arachnoid and epidural block. Perioperative period was uneventful with good postoperative graft functioning.    

Keywords: Central neuraxial blockade; Renal transplant; Venticular septal  defect.