AbstractA 44 years old female patient with primary sjogren’s syndrome presented for surgical repair of third degree uterovaginal prolapse with cystocele and rectocele. Other associated medical problems included hypertension, Type II diabetes mellitus and hypothyroidism. Vaginal hysterectomy with colpoperineorrhaphy and levataroplasty was done under lumbar subarachnoid block and the perioperative course was uneventful. Herein, we describe our experience of anesthetic management of a case of primary sjogren’s syndrome for an elective surgical procedure.