VATER association represents vertebral defects, anal atresia, tracheo-esophageal fistula with esophageal atresia, renal abnormalities and radial limb dysplasia. The probability of the simultaneous occurrence of any three of these defects is so unlikely that it suggests a sporadic non-random association. This non-random association appears to be related to mesodermal defects in early developmental period. We experienced one case of VATER association in 21 months old male child having vertebral anomalies with severe scoliosis, rib defects, imperforated anus, right renal agenesis, lipomyelomeningocele, spinal cord tumor. We reported a case of VATER association with brief review of related literature.