Median Arcuate Ligament syndrome is a rare disorder usually occurring in female with thin body habitus in the 4th or 5th decade. The classical triad consists of postprandial abdominal pain, epigastric bruit, presence of extrinsic celiac artery compression revealed by vascular imaging and usually diagnosed very late after years. Here we report a 60 year old male patient who had come with pain in abdomen for the past 2 years with vomiting for the past 1 month and has been investigated in multiple centres for his pain in abdomen and finally in recent Contrast enhanced CT abdomen he was found to have Median Arcuate Ligament Syndrome. Patient was managed surgically by Laparoscopic Median Arcuate ligament release. Patient had an uneventful recovery.