Rare cases in gynecological surgery always pose challenge to anaesthetist. Klipple Feil Syndrome stands high in the list. It is a rare skeletal disorder primarily characterized by short neck with decreased movements and low posterior hairline. It is believed to be caused by faulty segmentation of mesodermal somites. It is associated with other anomalies like cardiac and renal anomalies, deafness, scoliosis etc which make the anaesthetic management difficult.The technique of anaesthesia decides the outcome of patient. Here we present two cases of Klipple Feil Syndrome with skeletal and  renal anomalies posted for laparotomy for malignant ovarian mass done successfully under regional anaesthesia and emergency LSCS done under general anaesthesia.