Morbid obesity, defined as Body Mass Index (BMI) greater than 40 kg/m², poses significant challenges for anaesthetic management, particularly in emergency orthopaedic procedures. The authors present the case of a 62-year-old morbidly obese female (BMI-58.76 kg/m²) with multiple co-morbidities including hypertension, diabetes mellitus, hypothyroidism, chronic kidney disease, and bronchial asthma, who presented with left closed displaced subtrochanteric femur fracture following a fall at home. The