The objective of this communication is to show the existence of complications in caesarean section specifically associated with the application and maintenance of anaesthesia. Despite the obvious benefits of neuroaxial forms of anaesthesia for caesarean section general anaesthesia still has its place in the delivery room and is associated with risk of difficult airways management. For epidural anaesthesia total spinal anaesthesia remains the most feared complication. Spinal anaesthesia is associated with mother hypotension and the hypoperfusion of fetoplacental unit. Most of the expected complications of anaesthesia in caesarean section are effectively preventable. The good clinical outcome both for mother and newborn depends on right decision and adequacy of therapy.