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Background and Aims Inadequate postoperative pain control after cesarean delivery is linked to delayed functional recovery and mobilization. Mostly, the intrathecal opioids are utilized for optimal pain management, though it has its own inherent side effects. Regional anesthesia block techniques can also improve quality of analgesia and reduce associated side effects. This study aimed to assess the role of ESPB in comparison with other blocks in controlling postoperative pain and opioid consumption in patients who underwent cesarean section under spinal anesthesia.Methods The current meta-analysis was carried out following PRISMA guidelines. It was registered with PROSPERO database. The literature search was carried out utilizing online databases such as Cochrane library, Science Direct, PubMed and Google Scholar. The studies that included in this review reported opioid use, time to FAR (first analgesic request), the pain control following surgical treatment as well as side effects linked to using erector spinae plane block (ESPB) vs other blocks among females experiencing cesarean delivery. We utilized the software Review manager and RevMan for MAC 5.4 to conduct the meta-analysis. The mean differences, standard mean differences, and odds ratios (ORs) were computed for different outcomes. Random effect models were performed.Results During this systematic review and meta-analysis, 16 randomized controlled trials (RCTs) were included. A significantly reduced opioid consumption was observed among individuals who received ESPB compared to other abdominal wall blocks for cesarean deliveries (P=0.003). Time to 1st analgesic request was also considerably prolonged among patients who received ESPB (P<0.00001). Insignificant difference was noticed in postoperative pain scores between both groups.Conclusions ESPB significantly reduced 24 hours opioid consumption after cesarean delivery compared to other blocks. Time to 1st analgesic request was also significantly prolonged among females who received ESPB. Insignificant difference was observed in the pain scores postoperatively between both groups.