INTRODUCTION: Episiotomy is an important surgical procedure in obstetric practice.Safe and effective analgesia after episiotomy repair is an important aspect of care in order to reduce postpartum morbidity. Oral diclofenac, a non-steroidal anti-inflammatory drug has proven to be of benefit in pain control, however, there is need for an alternative route of administration of this drug with same analgesic efficacy because of the common significant side effects on the gastrointestinal tract. OBJECTIVE: This study compared the effectiveness of rectal diclofenac to oral diclofenac in the management of pain after episiotomy repair. METHODOLOGY: It was a randomised trial carried out amongparturients that had vaginal delivery and had an episiotomy repair. A total number of eighty twoparturients (forty one in each arm) were randomised to either 50mg oral or 50mg rectal diclofenac 12hourly for 24 hours after episiotomy repair. Pain score was assessed using numerical pain scale and level of maternal satisfaction assessed by Likert scale, degree of side effects of each route was also measured. STATISTICAL ANALYSIS: Collected data were analyzed using the Statistical Package for Social Sciences (SPSS) (Version 23.0). The data were summarized and presented as tables and charts. Pearson Chi-square test and level of significance were used to test association of categorical variables. Student t-test was used to test continuous variables. The level of significance was set at 5%.