Headache is a major disadvantage of spinal anesthesia and may occur after epidural anesthesia. It occurs due to leakage of cerebrospinal fluid through dural puncture. Once the diagnosis has been established the treatment takes place, conservative measures include that the patient is ordered to lie supine in bed and massive hydration is given to him, give him analgesics, prophylactic measures include intrathecal postoperative analgesia, epidural saline injection, epidural blood patch. Treatment includes epidural blood patch, epidural dextrose injection. Epidural saline injection, ACTH, caffeine therapy, epidural colloid injection, epidural fibrin glue as a new trend.