Nimmaanrat S, Wongwiwattananon W, Siripreukpong S, et al. - Researchers examined the link between local anesthetic infiltration (LAI) pain before spinal anesthesia and pain and morphine need within 24 h post-cesarean delivery (primary outcomes) in this prospective cohort study. They also evaluated the link between LAI pain and pain at one month postoperatively. This analysis involved 216 eligible women scheduled for elective cesarean delivery. Experts performed local infiltration prior to spinal anesthesia using a 24-gauge needle and 3 mL 2% plain lidocaine. All participants were administered 2.2 mL 0.5% hyperbaric bupivacaine with 200 µg morphine for spinal anesthesia. A moderate correlation was identified between LAI pain intensity and severity of acute pain at rest and with movement and a weak correlation was evident with morphine use within 24 h after the operation. Overall, findings revealed that among women scheduled for elective cesarean delivery under spinal anesthesia, pain from LAI before spinal anesthesia was significantly related to subsequent acute and postoperative pain at one month.