Background: Caesarean section rate is increasing globally and as part of postoperative care which involves timely administration of analgesic drugs, may pose some challenges; most especially in centres offering free maternal health services, where high caesarean section rates and shortages of staff exist. Therefore exploring the effectiveness of intraoperative infiltration of the surgical site, with anaesthetic agent for postcaesarean analgesia may help in minimising the analgesic needs of the parturient and thereby enhancing recovery as well as reducing the staff work load. Objectives: The study assessed the safety and effectiveness of surgical site infiltration with lidocaine epinephrine solution for postcaesarean analgesia, compared with non-infiltration. Study Design: It was a prospective randomised controlled clinical trial. Methods: One hundred and forty eligible pregnant women scheduled for elective caesarean section at term in UNIMEDTHC, were randomly assigned to the study or control group with 70 participants per group. Following skin closure, surgical sites of the study group patients were infiltrated with 20mls of 2% lidocaine solution (comprising 400mg lidocaine and 100µg epinephrine) stat while the control had non- infiltration. Both groups received the same adjuncts analgesic agents as well as rescue analgesics after complaints of moderate to severe pain (i.e pain score ≥5). The primary outcome measured was 6hourly pain scores in the first 24 hours postoperative period. xii Analysis: The data was analysed with SPSS version 25 with intention to treat analysis employed. Appropriate statistical tools were used to compare means and the level of significance (p-value) was set at less than 5%.