Background: Epidural labor analgesia (ELA) can be extended for use as epidural surgical anesthesia (ESA) for intrapartum caesarean section. The present study was conducted to compare spinal and epidural anesthesia for caesarean section following epidural labor analgesia. Materials & Methods: 84parturients admitted for vaginal deliveries were divided into 2 groups of 42 each. In group I, epidural painless labor was maintained by continuous infusion and patient-controlled epidural analgesia (PCEA) using 0.125% bupivacaine with fentanyl 1.25 mg/mL.In group II, SA was performed, a standardized dose of hyperbaric bupivacaine 10-12 mg with or without 100-300 mg morphine was administered through a 26- gauge spinal needle.