diff --git a/macchiato.py b/macchiato.py
index a631638..54ab076 100644
--- a/macchiato.py
+++ b/macchiato.py
@@ -1,6 +1,7 @@
 import itertools
 import sys
 import tempfile
+import tokenize
 
 import black
 
@@ -33,6 +34,24 @@ def macchiato(in_fp, out_fp, args=None):
         prefix = 4 * i * " "
         lines.insert(i, f"{prefix}if True:\n")
 
+    # Handle else/elif/except/finally
+    try:
+        first_token = next(
+            tokenize.generate_tokens(iter([first_line.lstrip()]).__next__)
+        )
+    except tokenize.TokenError:
+        first_token = None
+    if first_token and first_token.type == tokenize.NAME:
+        name = first_token.string
+        if name in {"else", "elif"}:
+            lines.insert(n_fake_before, f"{indent * ' '}if True:\n")
+            lines.insert(n_fake_before + 1, f"{indent * ' '}    pass\n")
+            n_fake_before += 2
+        elif name in {"except", "finally"}:
+            lines.insert(n_fake_before, f"{indent * ' '}try:\n")
+            lines.insert(n_fake_before + 1, f"{indent * ' '}    pass\n")
+            n_fake_before += 2
+
     # Detect an unclosed block at the end. Add ‘pass’ at the end of the line if
     # needed for valid syntax.
     last_line = lines[-1]
@@ -62,9 +81,12 @@ def macchiato(in_fp, out_fp, args=None):
             # Write output.
             fp.seek(0)
             formatted_lines = fp.readlines()
-            out_fp.write("\n" * n_blank_before)
             until = len(formatted_lines) - n_fake_after
-            for line in formatted_lines[n_fake_before:until]:
+            formatted_lines = formatted_lines[n_fake_before:until]
+            fmt_n_blank_before, _ = count_surrounding_blank_lines(formatted_lines)
+            formatted_lines = formatted_lines[fmt_n_blank_before:]
+            out_fp.write("\n" * n_blank_before)
+            for line in formatted_lines:
                 out_fp.write(line)
             out_fp.write("\n" * n_blank_after)
 
diff --git a/test_macchiato.py b/test_macchiato.py
index 9797e23..6a74d94 100644
--- a/test_macchiato.py
+++ b/test_macchiato.py
@@ -27,7 +27,11 @@ def test_count_surrounding_blank_lines(lines, before, after):
         ("foo\n", "foo\n"),
         ("    foo\n", "    foo\n"),
         ("    if True:\n", "    if True:\n"),
-        ("\n\n        x=3\n\n", "\n\n        x = 3\n\n")
+        ("\n\n        x=3\n\n", "\n\n        x = 3\n\n"),
+        ("elif x==5:\n", "elif x == 5:\n"),
+        ("'''\n'''\n", '"""\n"""\n'),  # tokenize error handling
+        ("    finally :\n", "    finally:\n"),
+        ("    def f():\n        pass\n", "    def f():\n        pass\n"),
     ],
 )
 def test_macchiato(input, expected):