Post-cesarean delivery pain relief is important. Pain may impair the mother's ability to optimally care for her infant in the immediate postpartum period and may adversely affect early interactions between mother and infant. It is necessary that pain relief be safe and effective with no adverse neonatal effects in breast-feeding women. Optimal postoperative analgesia has a significant impact on patient recovery and outcomes after cesarean delivery. Multimodal analgesia is the core principle for cesarean delivery and pain management due to increasing efficacy and safety. The most commonly used modalities are: Systemic administration of analgesic drugs (opioids- non opioids), neuraxial injection of opioid and/ or adjuvants, regional blocks and non-pharmacological methods of analgesia. Postsurgical recovery has evolved from focusing on a one-dimensional goal of a VAS pain score ≤3/10 to a more multidimensional approach. The fundamental goal of experiencing less pain not only reduces an patient’s suffering but also improves recovery with faster return to the daily activity, including maternal-infant bonding, returning home, and better daily activity hence, the reliance on VAS on active movement arouse. The postoperative pain control is a vital part in Enhanced recovery of cesarean delivery (ERAC). Regional blocks useful for cesarean surgery have been shown to have significant improvement on ERAC when used on early ambulation.