Abstract A 45 year old male patient, ASA physical status I, pre - operatively administered inj. Metoclopramide 10 mg I.V. developed restlessness, agitation and exhibited movements of the arms and legs (crossing and uncrossing of the legs).Symptoms subsided after administration of inj. Midazolam 1.5 mg I.V.We believe that drugs commonly administered in the peri - operative period have the potential of inducing akathisia. We should keep a high index of suspicion of akathisia with use of Metclopramide.