4-month-old presented with trans analprotrusion of distal end of ventriculo-peritoneal shunt catheter.She had undergone VP shunting for congenital Hydrocephalous after one month of birth,two weeks later had undergone revision of the VP shunt. She presented to our pediatric emergency with complaints of distal end of VP shunt protrusion from anal canal with lethargies and severely depressed anterior fontanel. After basic stabilization in the ED, the patient was taken to OR and the shunt system was removed immediately and EVD was continued for2 weeks until shunt replacement and was discharged without neurological sequelae.