Purpose: To report a case of venous air embolism during strip craniectomy and review its incidence. Abstract: Venous air embolism is a rare but potentially life-threatening complication of strip craniectomy. We report a case of intraoperative venous air embolism occurring during strip craniectomy for craniosynostosis, identified promptly and managed with supportive measures, resulting in a favourable outcome. Review of the literature demonstrates that venous air embolism, while uncommon, remains a recognised risk in craniofacial procedures, particularly in the paediatric population. Early recognition and preventative strategies are critical to reducing associated morbidity and mortality. Reference: Faberowski LW, Black S, Mickle JP. Incidence of venous air embolism during craniectomy for craniosynostosis repair. Anesthesiology. 2000 Jan;92(1):20-3. doi: 10.1097/00000542-200001000-00009. PMID: 10638894.