Background: pain after a caesarean section is still a problem. Evaluation of the pain intensity needs selection a suitable anesthetic method, medication, and dosage, as well as the enhancement of postoperative pain therapy.
The aim of this study: was to assess the successful of an ultrasound-guided transversus abdominis plane block following a caesarian operation regarding patient safety, pain treating, and satisfaction.

Patients and methods: Prospective observational research trial, whereas 200 of Gravid women shared and equally distributed to double collections, each collection includes 100 of women: first got TAP block and the other did not get TAP block. After the abdominal delivery, with evaluation of the pain intensity.
Results: The pain score, the requirement for extra rescue analgesia, and some minor problems were examined 2, 4, 8, 12, and 24 hours after procedure. In all time periods, the degree of discomfort in "group A" was considerably less than in "group B" (p >0.001). Only 42% of women in "group A" required further rescue analgesia, while 100% of women in "group B" did. Early on, at 2 hours post-operatively, nausea and vomiting were greater in women in "group B" compared to those in "group A," with a p-value of 0.037*. Intestinal motility was audible sooner in "group A" than in "group B," and the same was true for mobilization time and breast feeding, which were both earlier in "group A."

Conclusions: Ultrasound guided TAP block showed an efficacy in controlling pain after cesarean section providing an effective and safe postoperative analgesia