Conjoined twins are very rare congenital malformation in which twins have varying degree of anatomical union. They are reported to occur by the incidence of 1/50,000 to 1/100,000 in deliveries and in approximately 1/600 twin births. The conjoined twins are usually associated with anomalies of internal organs, most commonly cardiovascular anomaly leading to immediate postnatal death. A case of conjoined twins (cephalothoracopagus syncephalus) was delivered by Caesarian section from a 23-year-old primiparous woman at OB and GY dept., Veterans Hospital. Gestational period was 30 weeks and both twins died soon after birth. The autopsy was performed and a review of literature on conjoined twins were discussed briefly.