Background & Method: The aim of this study is to evaluate the efficacy of Tramadol administered epidurally along with 0.375 % Bupivacaine in patients undergoing lower limb surgeries. Patients with absolute contra- indication for epidural block like bleeding disorders or patients on anticoagulant therapy or MAO inhibitors, with raised intra–cranial tension, infection at the site of injection, with neurological deficit and with psychiatric diseases were not included in this study. Patients who were chronic abusers of benzodiazepines and painkillers were also excluded from this study