We report the anesthetic management of a 6-year-old female child with lung cyst who underwent thoracoscopy followed by minithoracotomy for resection of lung cyst. Intraoperative controlled ventilation with modified Ayer's T-piece allowed better surgical access and enabled complete resection of the lesion as well as ETCO 2 and hemodynamic parameters were maintained. Lumber epidural catheter placed in thoracic region provided good post-operative analgesia. The child was extubated on table and had uneventful recovery.
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