Spinal intramedullary AVMs are rare and potentially life threatening. This surgical clip shows a large AVM with multiple feeders, extending from D3 to D7, being totally excised. The patient is a 27-year-old young man who became paralyzed waist down five years back. In view of the risks involved with surgery and the hope of spontaneous recovery, the patient had put off surgery until recently. The patient had spastic paraplegia preoperatively. By the 4th post-operative day, he has started moving his toes and flexing his hip. The surgeon hopes he will make a total recovery.