 Obesity among pregnant women has become increasingly common around the world, leading to increased risks of complications during childbirth. Epidural analgesics are the preferred method of pain relief during labor, but they are more difficult to administer in obese patients due to their larger size. Spinal anesthetics are another option, but these require a higher dose of medication and take longer to work. Combining both types of anesthetics may be beneficial, as it allows for faster onset and better pain control during caesarean sections. Obese patients should be monitored closely by an experienced anesthesiologist who understands the unique challenges associated with this population. This article was authored by Sangtae Kim.