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Background and Aims Using the regional anesthesia with GA in some surgeries has many benefits including but not limited to reducing the use of intra-operative and postoperative narcotics

Methods 53 years old female patient presented to our anesthesia clinic for abdominoplasty and Liposuctions of the back and the abdomen. She has no comorbidity and the Caudal anesthesia with GA was discussed with her and she agreed and consent was signed . Blood investigations were done including coagulation profile . First we started with GA with propofol and Remifentanil after turning the patient prone, Caudal anesthesia was given . postoperative protocol for analgesics was as follows: Paracetamol 1 gm intravenous every 8 hours if pain score is 4 or less and 50 mg Pethidine intramuscular if pain score is 5 or more

Results Operation was done successfully and patient shifted to PACU pain -free with No post-operative side effect of narcotics. Her first request of narcotics was after 18 hours and only Paracetamol Every 8 hours.

Conclusions Caudal Block prolonged the analgesia postoperative with minimal or no side effects from narcotics