Suprachoroidal haemorrhage (SCH) is one of the most feared complications of Ophthalmic surgery.   This lecture discusses the pathophysiology of SCH and the risk factors of its occurrence. This is followed by a case discussion and an account from the surgeons perspective of the experience mentally and coping strategies should this experience ever arise. We sincerely hope you never have to encounter SCH first hand, but if you do this video may help along the way.