Background: CHARGE syndrome is a genetic disorder with autosomal dominance, involved in the mutated gene CHD7 on chromosome 8. The abbreviation “CHARGE” characterizes the association of coloboma, heart anomalies, choanal atresia, and retardation of growth, genital and ear anomalies. This is a case report of 1.6 year old male baby who underwent bilateral herniotomy. The surgical procedure called for mild support of manual ventilation until the thorax was opened and then regulated ventilation with judicious fluid management was done. Intra-operative care of hypercarbia and hypoxia with meticulous post-operative surveillance was done. In this case satisfactory respiratory function and bilateral herniotomy was successfully done. Case report : We report a 1.6 year old male child with case of CHARGE syndrome . There are several features common in this disorder like coloboma, heart defects, choanal atresia, growth retardation, genital abnormalities and ear abnormalities. Here we are discussing the anaesthetic management for the same . Conclusion: The anaesthetic care of a child with CHARGE Syndrome can be difficult. Although there are many problems associated to children with CHARGE Syndrome, and anaesthesia management is challenging and require expert skills. Early recognition and intervention can definitely improve the survival and outcome benefits. Assessing the risks of children with CHARGE syndrome should be monitored longer after surgery than the general paediatric population.