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Introduction: The potential problems in managing a case of short stature/dwarf woman is higher cesarean section rates due to cephalopelvic disproportion, higher preterm birth , cardiac and pulmonary abnormalities, difficult anesthetic management and high risk of Fetal skeletal dysplasia. Aims and Objectives : 1.The role and significance of pelvic assessment in short stature women 2. To reduce the rate and complications of Caesarean section Materials and Methods : A 25 year old dwarf woman presented to our outpatient clinic for antenatal visit. She was of proportionate short stature , her height 102cm. She conceived spontaneously. Her husband was also a proportionate short stature dwarf, height 104cm. No family history of short stature. She had no prior history of hypertension or familial hypercholesterolemia or any heart disease . She was counseled regarding the significant risks in pregnancy posed by her disproportionate dwarfism, specially limited abdominal size and cardio-respiratory reserve and the risks to the baby. Early pregnancy was non complicated. Anomaly scan was done and the baby was unaffected. Patient had regular ANC check ups. Patient was admitted to the labor room in latent labor with draining PV.Pelvic assessment was done and labor was allowed to progress spontaneously while carefully watching for signs of CPD. Results: The patient delivered by spontaneous vaginal delivery a healthy female term baby of 2.46kg with APGAR score 10/10.Postpartum was uneventful and she was discharged on day 2 of SVD. Conclusion: This case highlights the significance of pelvic assessment, the possibility of term normal vaginal delivery and reduction of primary caesarean section in short stature women.