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Erciyes University Medical School, Department of Neurosurgery, Kayseri, Turkey During pregnancy, a cerebrospinal fluid (CSF) shunt operation may be necessary due to hydrocephalus. Although many authors have suggested that pregnancy in a patient with a ventriculoperitoneal (VP) shunt for maternal hydrocephalus. generally has anormal outcome. VP shunt malfunctions appear to be common in pregnancy due to increased intraperitoneal pressure. In this paper, we present a pregnant woman with hydrocephalus who required multiple revisions of a VP shunt. We consider that when a pregnant woman develops hydrocephalus requiring shunting, a ventriculoatrial (VA) shunt should be preferred. Keywords : Cerebrospinal fluid shunts, maternal hydrocephalus, pregnancy, complications