Background: Pain management is an important component of enhanced recovery.With the demand of effective and opioid sparing pain management, regional blocks has the advantage of immediate and prolonged postoperative pain control, it helps the parturients for early ambulation, breast feeding and early discharge from hospital.Both Quadratus lumborum block and ilioinguinal iliohypogastric nerve blocks were extensively studied individually in caesarean sections, but the purpose of this study was to perform a relatively credible and comprehensive assessment to compare the efficacy of QL Type-II, ILIH Block with 0.375% ropivacaine and 8mg dexamethasone as an adjuvant in parturients undergoing caesarean section. Methods: This prospective observational study was conducted in 100 parturients of ASA II posted for elective caesarean section were randomly assigned into 2 groups. Group Q parturients were given bilateral QL block Type-II (Posterior QL Block) with 25 ml volume of 0.375% ropivacaine with 8mg dexamethasone on each side . Group I were given bilateral ILIH block with 25 ml volume of 0.375% ropivacaine with 8mg dexamethasone on each side. Patient satisfaction Score, VAS and DYNAMIC VAS scores at 2nd,4th,6th,8th,12th and 24hrs, the time required for 1st rescue analgesia and number of rescue analgesic doses in 24 hrs after surgery for both blocks were measured. Results: Patient satisfaction score was significantly more in QL group compared to ILIH Group (P<0.05) . VAS scores and DYNAMIC VAS scores at 2nd,4th,6th,8th,12th and 24 hrs in group Q were significantly lower than GROUP I (p<0.05). The time for first rescue analgesia was longer in group Q (624 ± 91 mins) compared to group I (361 ± 73 mins)(P< 0.05). The total number of rescue analgesics required were lower in Group Q (0.95 ± 0.60) compared to Group I ( 2.82 ± 0.86) ( P < 0.05) Conclusions: Quadratus lumborum block was superior to ILIH Block in providing better pain management with less opioid consumption and enhanced recovery after surgery