Background: Post-Dural puncture headache (PDPH) is a consequence of spinal and epidural anesthesia. The gold standard for its treatment is epidural blood patch. Sphenopalatine ganglion block (SPGB) has been proposed as a non-invasive intervention with minimal adverse effect. Objective: The aim of this study was to assess the efficacy of sphenopalatine ganglion block for treatment of post-dural puncture headache. Methods: The databases were searched for articles published in English in 3 data bases [PubMed – Google scholar and Egyptian bank of knowledge] and Boolean operators had been used such as [Sphenopalatine ganglion block and post dural puncture headache] and in reviewed articles. Conclusion: SPGB is an effective initial modality for managing severe headache in patients with PDPH.