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Background and Aims Regional anesthesia plays a major role in orthopedic surgeries for geriatric age group with minimal changes of vital signs and good postoperative pain control which helps early hospital discharge .

Methods We present 78 years old female patient with non Union of right femur fracture for ORIF with Right iliac crest bone graft . In anesthesia clinic pre- anesthesia consultation was done and consent for right femoral nerve block and right TAP block with sedation. She has no medical co-morbidities away from her fragile nature which related to her age. Anesthesia techniques were fully explained to the patient. intra-operative as well as postoperative remained uneventful, and the patient shifted to PACU awake pain free .

Results intra-operative as well as postoperative remained uneventful, and the patient shifted to PACU awake pain free .

Conclusions Geriatric age group has a large scale of population and needs special anesthesia techniques The revolution of US guided nerve block makes anesthetizing them much easy and safe With high chance of early post-operative hospital charging .