Twin Dystocia is a extremly rare complication of multiple pregnancy, and a situation that affords real dystocia in the life time of a busy obstetrician, since no one has any extensive experience in handling this problem. Because of its rarity and seriousness, a case of locked twin with survival of both infants by C-section is presented, and the various methods of managing this grave obstetric complications are briefly discussed with a review of the literature.