Headache is a major disadvantage of spinal anesthesia and may occur after epiduralanesthesia. It occurs due to leakage of cerebrospinal fluid through dural puncture.Once the diagnosis has been accomplished the treatment takes place, conservativemeasures include that the patient is ordered to lie supine in bed and massive hydrationis given to him, give him analgesics, prophylactic measures include intrathecalpostoperative analgesia, epidural saline injection, epidural blood patch and intrathecalcatheter placement.Treatment include epidural blood patch, epidural dextran injection, epidural salineinjection, epidural fibrin glue, ACTH, Desmopressin acetate, caffeine therapy,sumatriptan and Gabapentin, which is recently used to relieve PDPH.