Emergency cesarean section is a frequent high risk procedure. Systematic third trimester anesthesia consulation is of great value. The main problem is difficult intubation. It may be prevented by scoring patients according to Mallampati and Wilson, and by more frequent use of fiberoptic techniques. Perfect knowledge of a failed intubation drill is mandatory. Monitoring of ETCO2, SpO2 and curarisation comes in addition to basic monitoring. Special conditions as toxemia, major bleeding, allergies, maternal circulatory arrest are reviewed. Suggested protocols for general and locoregional techniques are presented.