Idiopathic ventricular tachycardia arising from right ventricle outflow tract (RVOT-VT) is an uncommon, catecholamine-sensitive form of VT occurring in the absence of structural heart disease and may pose challenges during pregnancy and delivery due to the risk of sympathetic stimulation. We report a case of a pregnant woman with RVOT-VT who underwent caesarean section. She had a history of dyspnoea and palpitations, was diagnosed and started on calcium channel blocker in the antenatal period. Peripartum management of RVOT-VT can be challenging. A carefully planned spinal anaesthetic using bupivacaine and intrathecal morphine was administered, with specific measures taken to minimise arrhythmogenic triggers. This case highlights the importance of tailored anaesthetic planning in patients with RVOT-VT, focusing on trigger avoidance, choice of anaesthetic technique and appropriate vasopressor use.