AbstractThe increase in geriatric population with preexisting cardiac disease presenting for non-cardiac surgery is in escalating numbers. Aortic stenosis is a significant risk factor for the development of cardiac complications after non-cardiac surgery. According to the American college of cardiology recommendations, it is advisable to postpone any elective surgery in patients with aortic stenosis without proper optimization. We report about a 79-year-old female with severe aortic stenosis with left sided fracture neck of femur for bipolar hemiarthroplasty. Procedure was done under general anesthesia with fascia iliac block and intraoperative and postoperative course was uneventful.