Kartagener's syndrome is a rare disorder characterized by the triad of situs 
inversus, including dextrocardia, bronchiectasis and paranasal sinusitis. We 
report the anaesthetic management of a patient with Kartagener's syndrome and 
postrenal transplant immunosuppression, presenting for repair of uterovaginal 
prolapse. Combined spinal epidural anaesthesia was administered to this patient. 
The anaesthetic considerations of this rare disorder and the relative advantages 
of the regional technique over general anaesthesia in this situation are 
discussed.