Study design: Case report. Setting: Tertiary referral spinal surgery center in South India. Objectives: To report a patient who developed epidural hematoma following epidural anesthesia causing acute paraplegia. Surgery was avoided due to concomitant gastrointestinal bleeding and poor general condition. Patient showed early signs of recovery with complete resolution of neurological deficits in 12 weeks. Conclusion: Surgery can be avoided in patients who show early signs of neurological recovery following epidural hematoma.