Background: Cervical cerclage, is performed either under regional or general anaesthetic techniques. General anaesthesia with endotracheal intubation is popular to protect air way from acid aspiration. Total intravenous anaesthesia (TIVA) technique is often not practiced, with the fear of unprotected airway and possible effect of drugs on foetus. This study was designed to verify the safety of TIVA in cervical cerclage. Patients & Methods : In a prospective randomized study, 60 ASA I st atus patients, undergoing cervical cerclage (14-16 gestation week) for cervical incompetence were grouped into 30 each. Group A received TIVA ( 2mcg kg -1 fentanyl with propofol for induction and maintenance) with spontaneous breathing using Hudson mask for oxygenation. Group B received general anesthesia with intubation and controlled ventilation. Both groups received tablets ranitidine 150mg and metaclopropramide 10mg one hour before surgery. In the recovery room were monitored for wakefulness, orientation, nausea, vomiting, and pain (verbal rating scale). They were followed at delivery for congenital anomalies and Apgar score. Results : At the end of the procedure 90 percent (27/30) in Group A were awake and oriented. In Group B 30 percent (9/ 30) were awake and 13.33 percent (4/30) oriented with statistical significance (X2 test) at < 0.001 p. None in Group A had nausea, vomiting or pain in the recovery room. In Group B 16.66 percent (5/30) complained of nausea and pain while 50 percent (15/30) had only pain requiring treatment with statistical significance at < 0.05 and < 0.001 p respectively . The mean duration of surgery in Group A was 32.28 (SE1.78) and in Group B 42.17(SE1.87) minutes with 95% confidence limit. Both groups had no congenit al anomalies with Apgar scores 9 at one and 10 at five minutes. The age and weight were not clinically and statistically significant. Conclusion : TIVA using Fentanyl and propofol for cervical cerclage until 16weeks of pregnancy is safe with no adverse effects on the mother and the foetus. It provides early recovery with no pain and Post operative nausea and vomiting