In 1993, Cairo joined Extreme Championship Wrestling. Cairo was originally an ally of The Sandman, assisting him in his feud with Jason. The alliance crumbled after The Sandman was temporarily blinded following a match and inadvertently struck his wife, Peaches. When The Sandman regained his sight and saw Cairo assisting Peaches to her feet, he attacked Cairo. The Sandman subsequently became estranged from his wife, and Peaches became the valet of Cairo.
Cairo and Peaches faced The Sandman and his new manager, Woman, in an intergender "Singapore Caning" match on May 14, 1994. After Cairo and Peaches defeated their opponents, Peaches caned The Sandman's crotch until Woman threw salt in her eyes, enabling The Sandman to regroup and use his cane on both Cairo and Peaches. The feud led to a "Cane on a Pole" match on June 24, 1994 at Hostile City Showdown that The Sandman won after retrieving a second cane from beneath the ring, and a "Dueling Canes" match on July 16, 1994 at Heat Wave 1994 that was also won by The Sandman.
In late 1994, The Sandman was once again "blinded" after a lit cigarette was pushed into his eye during an "I Quit" match with Tommy Dreamer. The Sandman subsequently claimed that he would have to retire as a result, with Dreamer responding by dedicating the remainder of his career to The Sandman. Cairo began mocking The Sandman, which led to Dreamer heavily beating him in a match on November 5, 1994 at November to Remember. During The Sandman's retirement ceremony, The Sandman reconciled with Peaches (Woman had abandoned him upon his blinding) before revealing that he was not in fact blinded and attacking Dreamer. The Sandman later revealed that his "blinding" had been an elaborate ruse concocted to trick Dreamer into hurting Cairo on his behalf. Cairo left ECW in 1995.