Situs inversus is a rare congenital positional anomaly characterized by right sided heart (Dextrocardia) and transposition of abdominal viscera. This case report discusses about a unbooked 23 year old primigravida with twin gestation came with labour pains was found to have dextrocardia was taken up for emergency caesarean section in view of non-progression of labour and fetal distress. Intrapartum was eventful . Post surgery the mother was investigated in view of dextrocardia and found to have situs inversus . Situs inversus totalis is not associated with any significant morbidity or mortality and have a normal life expectancy in a patient possessing it. However, its timely diagnosis is crucial and documentation of situs inversus in an individual is important to correctly interpret any future symptoms and avoid any inadvertent clinical or surgical complications.