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Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submissionBackground and Aims Thoracic epidural analgesia (TEA) improves pain relief, and mental status, improves bowel function, and patient satisfaction and accelerates patient recovery in patients undergoing abdominal surgeries whenever compared with systemic opioids. The primary aim of this study was to observe the frequency of appropriate epidural catheter insertion site in adult patients scheduled for major abdominal surgeries and secondary aim were to observe the frequency of ineffective postoperative analgesia, side effects, complications of epidural infusion, and patient satisfaction.Methods This prospective study was conducted for a period of six months after approval from the Institutional Ethical Review Committee. All adult patients who underwent elective major abdominal surgery under general anaesthesia with an epidural catheter placed for postoperative pain management were included in this study. Post-operatively, all patients were managed by the acute pain management team. Data was collected in a specially designed proforma.Results One hundred and four patients were included in this study. Sixty (57.69%) of patients were male. The epidural catheter was inserted congruent to the surgical incision that is at T10/T11 interspace or above in thirty-eight 38 (36.6%) patients, below T11 but till L1 in forty-five (43.3%) of patients, and below L1 in twenty-one (20.2%) patients. In the postoperative period, overall effective epidural analgesia was observed in seventy (67.3%) of patients. Regarding the side effects of epidural infusion, the motor block was observed in twenty-one (20.2%) of patients in the immediate postoperative period.Conclusions The frequency of appropriate epidural catheter insertion was found in 36.6% of patients. The frequency of ineffective postoperative analgesia was found in 32.7% of patients.