Balloon Mitral valvuloplasty is a highly successful technique in selected cases of Mitral stenosis. It should not be performed when the valve is very calcified, or in presence of very severe subvalvar stenosis. Presence of atrial fibrillation is no longer a contra indication to the procedure, provided clot in the left atrium is excluded by Trans-esophageal echo. This technique is also very useful in tackling cases of Mitral stenosis detected during pregnancy. A 30 year old lady, mother of two, presented with severe Mitral stenosis, with an estimated valve area on Echocardiography of 0.9 sq. cm, and a peak gradient across the Mitral valve of 25 mm Hg. She underwent balloon valvuloplasty using the Inoue Balloon. During the procedure a mean gradient of 14 mm across the Mitral valve was recorded. Following the dilatation of the valve, the pressure gradient disappeared. The patient was discharged from the hospital the next morning.