In recent years, percutaneous valve approaches have been chosen for the treatment of aortic, mitral, and tricuspid diseases. These procedures are continuously evolving and can be done under local anesthesia, sedation, or general anesthesia. They are less invasive, carry less morbidity, and provide early mobility. As cardiac anaesthesiologists, we play an important role not only in assessing periprocedural risk but also in intraoperative transesophageal echocardiography evaluation, rapid ventricular pacing during valve deployment to provide an immobile field, ventilation suspension, handling hemodynamic crises, and managing complications that may arise during the procedure. To provide better patient outcomes, anaesthesiologists play an important role as part of a multidisciplinary team. This presentation aims to discuss our experiences with TAVI ( Transcatheter Aortic Valve Implantation), Transcatheter Tricuspid valve procedures (Tric/Triclip), periprocedural anesthetic management of  Transcatheter Edge to Edge Repair of the mitral valve (Mitraclip) and how we handled the emergencies in our hospital.