Background: Pain after abdominal surgeries is an important cause of distress in the perioperative period. The postoperative pain following cesarean sections may vary from mild to moderate intensity and usually lasts for 72 hours. We in the current study tried to compare the duration of pain relief in the postoperative period by bilateral ilioinguinal and iliohypogastric nerve blocks. Methods: The patients were selected from the following inclusion criteria. Patients scheduled for elective lower cesarean section. Patients of age group between 25-35 yrs (primiparous and multiparous). Patients belonging to ASA I and II grades. They are named as Group A was scheduled to receive bilateral Ilioinguinal nerve block with 20 ml of 0.25% Bupivacaine solution in addition to spinal anesthesia with 2.5 ml of 0.5% Bupivacaine (Hyperbaric). Group B was scheduled to receive only spinal anesthesia with 2.5 ml of 0.5% Bupivacaine (Hyperbaric). Results: The cutoff values for receiving supplemental analgesia were VAS scores of 3 and above. The average time to the first dose of Tramadol in group A was observed to be 246.1 min as compared to 179.7 mins in group B (P<0.001). The total consumption of Tramadol in 24 hrs postoperatively has been 173.3 mg in group A as compared to 226.7 mg in group B. The total adverse events related to Tramadol observed in group A was 16 as compared to 28 in group B, the incidence of total adverse events related to Tramadol consumption was found to be considerably less in group A as compared to group B (p-value < 0.0005). Conclusion: There was a significant reduction in postoperative consumption of a total dose of Tramadol in lower segment cesarean sections surgeries can be achieved using bilateral ilioinguinal iliohypogastric nerve block using plain Bupivacaine. Adequate postoperative pain relief provided with the ilioinguinal nerve block significantly lowers the common side effects associated with Tramadol or other Opioid analgesics