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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 Shoulder surgery is painful and regional anaesthesia forms a key part of recovery, however an insensate limb can lead to patient dissatisfaction. The COMBINATION shoulder block is a novel hybrid regional block designed to enhance patient nerve block tolerability after shoulder surgery. Combining a short-acting, low-volume interscalene block (ISB) with a long-acting anterior suprascapular nerve block (aSSNB) may enhance the patient block experience.Methods Following receipt of ethical approval, an online survey was created to assess the post-block experience among patients undergoing varied shoulder surgical procedures at a private and public hospital. The survey comprised of questions related to demographics, patient centred experiences, rebound pain and block satisfaction.Results This block produces long-acting analgesia while preserving ipsilateral hand motor function. Most participants had preserved hand motor function (83/84, 98.8%), some patients were able to use mobile telephones in the post-anaesthesia care unit. Negative effects from this block were minimal, severe post-block pain incidence was low (5/84, 6.0%) as was bother cause by the nerve block (6/84, 7.1%). All patients were willing for repeat block for future surgery (84/84, 100%).Conclusions This novel technique enhanced patient nerve block tolerability by preserving hand motor function, had low severe post-block pain risk as well as high willingness for future repeat block.