Abstract
Surgery to the fetus while it is still in utero is used to treat an increasing number of lethal and non-lethal conditions. The problems of preterm labour and premature rupture of membranes associated with open surgery have led to the development of minimal access surgical techniques. Although fetal surgery is a new and fast moving frontier of medicine, it is not one that all obstetric anaesthetists will encounter. The first successful human fetal operation was performed in 1983, but it is still only carried out in a limited number of specialist tertiary centres. The broad challenges presented to the anaesthetist are:
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