Dilated cardiomyopathy (DCM) is a serious cardiac condition resulting in progressive heart failure and death. There have been several reports of anaesthetic management of DCM patients for various surgeries. Trans-Oral Robotic Surgery (TORS) is a minimally invasive approach to radical surgery of head and neck cancers. It utilizes the da Vinci™ robotic system to excise deep-seated intra-oral tumors in difficult to reach areas. We present a case series of 3 patients with DCM for TORS and their anesthetic management.