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Background and Aims Despite adequate graft function, post-kidney transplant patients receiving complex immunosuppressive therapy continue to present significant anesthetic challenges. We aimed to evaluate spinal anesthesia (SA) as a viable alternative to general anesthesia (GA), the most frequently utilized technique, for the brief CAPD catheter removal procedure.Methods A retrospective analysis was performed on seven patients who underwent CAPD catheter removal at the Department of Urology, University Hospital Centre Zagreb, Croatia, between January 2023 and January 2025. Spinal anesthesia was performed via a median approach at the L4-L5 interspace using a 25G Tuohy needle, with 11.2 mg levobupivacaine, 5 mcg sufentanil, and 240 mg of 40% glucose in a total volume of 3 mL. Motor blockade was assessed using the modified Bromage scale, and surgery was initiated once the sensory block to pinprick reached the Th4 dermatome.Results A sensory block reaching the T4 dermatome was achieved, providing an adequate level for the planned procedure. All patients reported comfort throughout the procedure and were able to tolerate the intervention without difficulty. Deep sedation or general anesthesia was not required. Sensory and motor blockade were fully resolved within three hours postoperatively. Subanalysis of seven patients is shown in table 1.Abstract P007 Table 1Subanalysis of seven patientsConclusions Although SA is not the first method of choice for CAPD catheter removal, it is a safe and feasible option due to the brief nature of the procedure, particularly for these patients who are at high risk for GA.