We would like to express our appreciation for publishing the article titled "Thoracic Spinal Anaesthesia for Paediatric Upper Extremity Surgery in Limited-Resource Hospital: A Case Report" in Ain-Shams Journal of Anesthesiology, 15:72, 2023. Authors have explored the use of Thoracic Segmental Spinal Anesthesia in upper extremity surgery in a 15-year-old patient in a limited resource setting. Although the article is of great interest in the current anesthesia practice as Thoracic Segmental Spinal Anesthesia is an upcoming technique, we want to discuss certain salient points as a reader and healthcare professional that warrant consideration. Segmental Thoracic Spinal anesthesia is a feasible, safe, and economical anesthesia technique for some special indications. We understand that the case report has significant value in highlighting innovative approaches to anesthesia in resource-constrained environments. Addressing various concerns and providing a more comprehensive and authentic literature would further enrich the article and contribute to the scientific knowledge in this field.