Background: Postoperative pain relief is one of the important component which needs to be managed in patients undergoing lower segment cesarean section. Midazolam is a drug which can be used for postoperative pain relief as an adjunct to anaesthetic medication. Methods: The study was conducted at tertiary care health institute. Total of 90 patients, 30 patients in each group were included in the study. Each group was evaluated for onset, intensity and duration of sensory and motor block, central side effects, time to first pain medication. Visual analog scale was used to assess the postoperative pain. Result: Time to first pain medication was significantly prolonged in group XM1 (n=30 with 2 mg midazolam) as compared to group X (n=30, 5% xylocaine hydrochloride). Nevertheless VAS at first pain medication was comparable in all the three groups. The side effects were no different in three groups. Conclusion: Addition of intrathecal midazolam at these dosages appears safe and has clinically proven analgesic properties with no major side effects.