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Conjoined twins are monozygotic twins physically joined at some part of the body. This is a rare phenomenon, estimated between 1:50,000 to 1:200,000 births. The objective of this report is to present the anesthetic management and the perioperative challenges for a separation surgery.

Anestesia e desafios perioperátorios para cirurgia de separação de gêmeos toraco‐onfalópagos: relato de caso