Vagal Schwannomas are extremely rare, benign, slow growing tumours. Perioperative management in these cases differs from those of other neck swellings due to its close proximity to vital neurovascular structures. Surgical resection of vagal schwannoma involves various anaesthetic challenges like difficult intubation, intraoperative hypotension, bradycardia, cardiac arrest, torrential bleeding, vocal cord paralysis, possibility of ventilatory support and prolonged post op ICU stay. Here we present a case of a 29 year old male, posted for surgical resection of a benign neck swelling (4.9×3.7×6.3 cm) originating from the vagus nerve. Knowledge about anticipated complications, vigilance in prevention and prompt management of hemodynamic alterations can prevent devastating complications. This case report aims to pen down the course of perioperative management from our experience and from existing literature.