It is a neurological disorder due to attachment of spinal cord abnormally to tissues around the spine. As a result spinal cord cannot move freely within the spinal canal leading to possible nerve damage resulting in spinal cord dysfunction. Reasons for tethering are many but mainly congenital associated with spina bifida Myelomeningocele , following spinal cord injury, spinal surgeries , tumours etc. Symptoms – back pain,leg pain,weakness of limbs ,numbness, bladder and bowel dysfunction. We had a 4 years male child who had Myelomeningocele operated when he was 7 days old in our hospital and he was brought for regular follow ups. 2years since he has dribbling of urine and constipation. so parents were taught for intermittent catheterisation of urine and bowel management. Follow up MRI of Spinal column showed tethering of spinal cord to previous operation scar and the spinal cord was lying at a lower level than normal. He underwent spinal cord release. Post op child improved very well. Now able to pass urine and motion by himself. TCS can seriously impact child’s daily life and can also tax emotional health of the family. The good news is that with proper medical and surgical care tethered cord can be managed well to ensure best possible quality of life. Management of TCS involves team of Neurosurgeon, Paediatric Surgeon, Urologist, Anaesthesiologist, Physiotherapist and good pre and post op nursing care. Team of doctors involved in the care are Dr.N. Sridevi (Neurosurgeon), Dr.A. SelvaKumar(Anaesthesiologist) , Dr. Dharmendra(Paediatric Surgeon), Dr. Srinivasan (Paediatrician) , Dr.Bala Krishnan (Urologist) , Operation Theatre Staff, Post Op Care Intensive Care Unit Doctors And Staff And Physiotherapists .