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Background and Aims Congenital dislocation of the hip (lat. luxatio coxae congenita, LCC) is the most common musculoskeletal disorder in the infant age. Pericapsular nerve group (PENG) block is a relatively novel regional anesthesia (RA) technique proven very useful for hip surgery in adults. To our knowledge, at the time of this case review, fewer than 10 cases of PENG block in children aged 5 years or younger have been described.Methods A 5 year old girl, weighing 20 kg, was scheduled for operative correction of LCC. After induction of general anesthesia, an ultrasound guided PENG block and lateral femoral cutaneous nerve (LFCN) block were performed, as a lateral and anterior surgical approach were combined. A combination of 2% Lidocaine (3 mg/kg) and 0.5% Ropivacaine (2 mg/kg) was given. Anesthesia was maintained with a continuous Propofol infusion.Results Throughout the 240 min procedure the patient maintained perfect haemodnamic and respiratory stability, receiving no additional opioids following induction. Awakening was uneventful, and nonsteroidal antiinflamatory drugs were started per requirement 16 h after surgery. No opioids were used postoperatively.Abstract P107 Figure 1Radiographic image before and after correctionAbstract P107 Figure 2Ultrasound image with relevant structuresAbstract P107 Table 1Drug doses and local anesthetic volumesConclusions This case aims to highlight the benefit of PENG and LFCN block in pediatric hip surgery. Such cases, although sparse, indicate that PENG block may provide superior analgesia for pediatric hip surgery, thereby drastically reducing opioid consumption and its related complications. At the time of this case review only 2 cases of combined PENG and LFCN block use have been described in children under the age of 5 years.