Traumatic rupture of the diaphragm is uncommon, occurring in 5.3% of cases where blunt trauma to the aMomen required laparotomy and in less than 196 of cases of blunt chest trauma. It is not found in the immediate postinjury phase in 33% to 67% of cases. This eventurates in delayed manifestations, ususally involving herniation of abdominal contents into the chest. We report our experience of the anesthetic management in a patient with old traumatic diaphragmatic hernia for orthopaedic surgery. Following epidural anesthesia, tracheal intubation was done and anesthesia was maintained with isoflurane, narcotics and O2. A careful monitoring was done for adequate oxygenation and ventilation. One month after operation he was transferred to the other hospital for recurred diaphragmatic hemia.