Background: Effective postoperative pain control is crucial for patient recovery and satisfaction. Different anesthesia techniques may influence patient perception of pain and analgesic needs. This study aimed to evaluate patient perception of pain control following general, regional, and local anesthesia approaches. Methods: A cross-sectional study was conducted involving 200 patients undergoing various surgical procedures under general (n=83), regional (n=67), or local anesthesia (n=50) at a tertiary care hospital. Pain intensity, satisfaction with pain relief, and analgesic consumption within 24 hours post-surgery were recorded. The influence of psychological factors was also assessed. Results: Mean age was 43.1 ± 12.2 years, with 57% male participants. Regional anesthesia recipients reported significantly lower pain intensity scores (2.9 ± 1.3) than those under general (4.3 ± 1.7) or local anesthesia (3.8 ± 1.5) (p < 0.001). Satisfaction scores for pain relief and overall care were highest in the regional group (4.1 ± 0.7 and 4.0 ± 0.8 respectively). Postoperative opioid consumption was significantly less in the regional anesthesia group (18.3 ± 10.2 mg morphine equivalents) compared to the general anesthesia group (39.1 ± 14.7 mg) (p < 0.001). Preoperative anxiety and previous surgical experience significantly affected pain perception (p < 0.05). Conclusion: Regional anesthesia offers superior patient-perceived pain control and reduces analgesic requirements relative to general and local anesthesia. Psychological factors also play a key role in pain perception. Personalized anesthesia and perioperative strategies are recommended to optimize pain management and enhance patient satisfaction.

Postoperative Pain; Regional Anesthesia; Patient Satisfaction