Sir,I read with interest the article titled, “A rare complication of epidural anaesthesia a case report with brief review of literature” by Lala et al.[1] The authors cite some methods to remove a catheter with increased resistance. It is interesting to note that there are some other recommendations to prevent the breakage of an epidural catheter.[2] Removal should always be performed by an anaesthesiologist or trained personnel because, in two cases, the catheter broke when non-trained personnel removed the catheter.[34] Removal should be done cautiously, applying continuous force, avoiding the use of excessive force. Prehension devices, such as haemostatic forceps, should never be used. The patient should be positioned in lateral decubitus for an easier removal. When facing a difficult catheter removal, one can inject normal saline through the catheter before another attempt.[56] Some authors recommend waiting 30–60 min before another attempt. Although this conduct lacks a logical explanation, it was effective in two cases of difficult catheter removal.[78] The experience of pain during the removal might indicate that the catheter is tangled around a nerve root. Because of the possibility of nerve root avulsion, the catheter should be removed under direct visualization through a laminectomy. In one case of a difficult catheter removal, a sterile Tuohy needle was introduced in the epidural space using the catheter as a guide; the needle and the catheter were removed as one set. Although this method was successful in the case described, it has a clear risk of catheter breakage and, therefore, this technique is not recommended.[9]