Teratomas are bizarre neoplasms that most commonly occur in infancy and childhood. Since surgical therapy is the primary treatment modality for any type of teratoma. we as anesthesiologists encounter these cases when they come for surgical removal. Providing anesthesia services for these cases is challenging because of the age at presentation. https://www.roneverhart.com/M-M-s-Peanut-Bulk-25LB-Case/