Conjoined twins is a rare disorder affecting one out of 30,000 to 1,00,000 births. A 25 year old unbooked multigravida of G3P2L1D1 with 8 months amenorrhoea with previous two L.S.C.S attended to our OPD with unknown LMP. Ultra sound revealed monochorionic, monoamniotic live conjoined twins of 28 weeks [+ or -] 3 weeks with thoracopagus type contained single heart. The poor prognosis interms of perinatal morbidity & mortality was explained to the parents in such twins repeat elective L.S.C.S with bilateral tubectomy was done, delivered alive female conjoined twins with APGAR-7, with birth weight of 2.5kgs, babies fused at thorasic level, babies died after 5 days at new born care unit. Mother postoperative period was uneventful. KEYWORDS: Conjoined twins, caesarean section, thoracopagus.