Background: Delivery by cesarean section is one of the commonest major operative procedure in obstetrics worldwide. Pain has been a major concern of mankind since the very beginning and according to Association for the Study of Pain, pain is “sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage”. Pain is inevitable after every surgery; hence, management of post-operative pain is of utmost importance. Methods: This was a single blind randomized controlled study in which 100 parturient who were undergoing cesarean delivery under spinal anesthesia in district hospital, Ballari from July 2018 to Dec 2018 were taken for the study. Patients were divided into two equal groups using computer generated randomization with 50 women in each group. Results: Paracetamol is better than Tramadol for post-operative acute pain relief in cesarean patients owing to its comparable analgesic efficacy and also Paracetamol is considered to be more safe, effective and requires no special monitoring.

Keywords: Paracetamol; Tramadol; Cesarian section.