There has been an increase in prevalence of obesity over last few decades. Obesity is multifactorial disease associated with numerous co-morbidities and complications which is mainly classified based on individuals body mass index. This is a challenge for the anesthesiologist to manage the patient perioperatively because of various cardiovascular and respiratory complications that are associated with it. The compromised airway and change in respiratory physiology in obese patients and the intra-operative factors like positioning, choice of surgical methods like laparoscopy further poses a challenge in management of airway, ventilation, fluid management. The peri operative risk of deep vein thrombosis, myocardial infraction, early ambulation and discharge are other concerns that are to be addressed and managed effectively. Hence, it becomes essential for the anesthesiologist to be aware of techniques for effective management of morbid obese patients posted for laparoscopic surgery for better outcomes post operatively.