Introduction: Spinal anesthesia, favored for its advantages like early mobilization and better postoperative analgesia, typically uses hyperbaric bupivacaine. However, hyperbaric levobupivacaine shows superior sensory and motor block, better hemodynamic stability, fewer complications, and faster recovery.Objectives: To compare hyperbaric levobupivacaine and bupivacaine in terms of sensory/motor block levels, postoperative analgesia duration, hemodynamic stability, and side effects during gynecological surgeries.Methodology: A double-blind, randomized trial with 70 patients undergoing gynecological surgery compared 3.5 ml of 0.5% hyperbaric levobupivacaine vs. 0.5% hyperbaric bupivacaine. Sensory/motor block, hemodynamic parameters, and complications were assessed intraoperatively and postoperatively. Results: Demographics and baseline parameters were similar. Levobupivacaine showed better motor and sensory block, fewer complications, and no significant differences in hemodynamic stability or pain scores. Conclusion: Hyperbaric levobupivacaine provides effective sensory/motor block and improved stability with fewer complications during gynecological surgeries under spinal anesthesia