The complications of ECT are associated with anaesthesia, tonic-clonic seizures and convulsions, the interaction between medications and ECT, and other procedural prospects. Complications experienced by patients are: • short-term memory loss • difficulty learning • nausea • headache • fatigue • confusion • sore muscles • low blood pressure • irregular heart rate These risks are reversible within hours however they may be more harmful to some patients than their ongoing treatment. According to studies, bilateral ECT causes more cognitive impairment than unilateral ECT however, the effect is for a short duration. Patients with any kind of comorbidities such as cardiac, neurologic, and pulmonary comorbidities are at a higher risk of developing severe complications, however, there has been a decrease in the ejection fraction in healthy patients post-ECT. To avoid complications, it is vital that patients undergo pre-ECT evaluation.