Objective:Compare the benefits & drawbacks of general versus spinal anesthesia regarding maternal satisfaction & morbidity as well as neonatal outcome.Patients and Methods:Observational prospective cohort study was conducted on 200 full term pregnant females delivered by elective cesarean section. Who were grouped according decision of the surgical team and anesthesiologist into two groups as follows: - Group A: Included (100 patients) who underwent elective cesarean section under general anesthesia. Group B: Included (100 patients) who underwent elective cesarean section under spinal anesthesia.Results:Spinal anesthesia showed rapid regain of bowel sounds, high Apgar score, less blood loss, slight hypotension, headache and hypothermia.Conclusion:Spinal anesthesia has evolved substantially as anesthetic technique of choice owing to its less maternal and fetal morbidity. Its safety, considering better maternal satisfaction rate and less fetal respiratory distress makes spinal anesthesia a good choice for caesarean delivery. (However, any type of anesthesia when used, whether spinal or general anesthesia, the end result depends upon the safety precautions taken by anesthesiologist and surgical team).