Morgagni hernia is a rare variety of Congenital diaphragmatic hernia and its diagnosis is usually incidental. When symptomatic, it is usually gastro intestinal. Cardio- pulmonary compromise due to hernia contents on lungs, heart and great vessels even in an uncomplicated hernia, poses a challenge for anaesthesiologist. Intra operative complications to be anticipated are hypoxia, hypercarbia, right to left shunt. Post operatively, atelectasis is an expected complication which could be prevented with adequate analgesia.

Keywords: Hernia sac; Laparotomy; Morgagni hernia.