In order for surgical procedures during pregnancy to be as successful and safe as possible, it is necessary to know anesthetic drugs, skills in the implementation of certain anesthetic procedures, but also a good understanding of the physiology of pain, pregnancy and childbirth. Physiological adaptations to pregnancy begin already in the first trimester and affect almost every organ system in a woman's body. Physiological adaptations include changes in the respiratory, cardiovascular, hematopoietic, gastrointestinal, urogenital and endocrine systems, so it is necessary to thoroughly consider the mentioned parameters before choosing a particular anesthetic technique.