Takayasu’s arteritis (TAK) is an arteritis, often granulomatous, predominantly affecting the aorta, its major branches and the pulmonary arteries. Onset usually occurs before the age of 50 years usually second or third decade. TAK is one of the more common etiologies of renovascular hypertension in pediatric age group. Anaesthesia in patients with TAK is complicated with severe uncontrolled hypertension leading to end organ dysfunction, stenosis of major blood vessels affecting regional circulation, and difficulties in monitoring blood pressure. Although spinal anaesthesia is widely using in pediatric age group, we have not seen any report concerning spinal anaesthesia for pediatric patient with TAK. We present a case of successful low dose spinal anaesthesia management of a pediatric patient with TAK, who underwent core decompression operation by orthopedia clinic