Postsurgical acute pain is a critical factor impacting recovery, patient satisfaction, and the risk of complications in surgical patients. Effective pain management is essential for enhancing patient outcomes and reducing the likelihood of chronic pain development.

However, pain perception is influenced by various factors, including demographic characteristics, types, duration and complexity of surgery, and pharmacological approaches. This study aims to identify these contributing factors and assess the effectiveness of different analgesics in managing postsurgical pain in a tertiary care setting.

Inclusion Criteria:

• Patients with ages of 18 years and above.
• ASA Class I,II are scheduled for elective surgeries under general anesthesia at Tertiary care hospital Mardan.

Exclusion Criteria:

• Chronic opioid and NSAID user, tricyclic antidepressants and selective serotonin reuptake inhibitors.
• People with bleeding disorders.
• Postoperative respiratory depression, patient with emergency surgeries or admitted to ICU Postoperative.
• Procedure perform under regional Anesthesia, history of hypersensitivity to analgesic drugs and refusal to participate"

To determine factors influencing Postsurgical acute pain