Caesarean section may also involve peritoneal stimulation, yet it is most commonly performed under spinal. Fortunately, the incision is very low and most of the surgery is pelvic and extraperitoneal. However, discomfort can ensue if the block is not high enough or if peritoneal stimulation is intense. In order to most reliably predict pain free surgery, a block to and including T5 is advised, and tested using light touch.

In addition, opioids are almost universally added to the spinal local anaesthetic.