The authors describe two-level spinal-epidural anesthesia with fixation of epidural catheter (EC) in subcutaneous canal and formation of subcutaneous and cutaneous EC loop using epidural and spinal needles. This procedure was performed in an elderly comorbid patient undergoing sequential surgical treatment of intertrochanteric fracture of the right and left femur. Reliable and safe method of EC fixation prevented internal and external EC dislocation that contributed to high quality and long-term postoperative analgesia, early activation of the patient and uneventful postoperative period. Tunneling and formation of subcutaneous and cutaneous EC loop were performed in low-traumatic and safe fashion using epidural and spinal needles in an unmodified version.