We report our experience of a 62 year old male patient with dextrocardia with situs inversus totalis suffering from coronary artery disease. Physical examination and chest x-ray confirmed the presence of dextrocardia. Coronary angiography showed three vessel coronary artery disease. Coronary artery bypass grafting was done by harvesting the right internal mammary artery instead of the usual left one with the surgeon standing on the right side of the patient. We conclude that dextrocardia is a rare anomaly that does not give an unusual technical challenge in coronary artery bypass graft surgery and surgeons can perform the procedure at ease on the right side of the patient.