Surgery in a patient with hepatic cirrhosis entails risk of complications and of death. Association of End Stage Renal Disease (ESRD) with cirrhosis further increases perioperative risk of morbidity and mortality. There are no documented reports of patients with concomitant liver cirrhosis and ESRD undergoing cardiac surgery. We present a case report of a successfully operated case of ESRD with compensated hepatic cirrhosis posted for coronary artery bypass grafting.