A new born baby was successfully operated on barely 48 hours after birth at Apollo Children�s Hospital, Chennai for an extremely rare blood vessel abnormality in the brain, called vein of Galen malformation (VOGM). Seen in 1 in 3 million births, the malformation was detected at the antenatal stage during the mother�s pregnancy. Endovascular embolization is the first option for treatment and all preparations were made for emergency surgery on the baby after birth. The mother was admitted in Apollo Children�s Hospital, antenatal MRI was performed and the baby was electively delivered through C-section.