Abstract : Traditionally women undergoing lower segment caesarean section (LSCS) had oral food withheld for12-24 hours to prevent gastrointestinal complications. However, it was observed in many studies, that early oral feeding to patients post LSCS improves recovery and decreases chances of post-operative complications. The aim of the present study was to compare the efficacy and safety of early onset versus late onset post-operative feeding after caesarean delivery. A single centred, institution based prospective comparative observational study of two parallel groups were carried out from March 2018 to August 2019 at Chittaranjan Seva Sadan College of Obstetrics, Gynaecology and Child Health, Kolkata after obtaining ethical clearance. The data was tabulated in Microsoft Excel software and analysed with SPSS V.24 software. Mean age of early onset feeding group was 24.27±3.182 and late onset feeding group was 24.28±3.180. 1st passage of flatus post-operatively (hour) in early onset feeding group was 8.29±0.8296 and in late onset feeding group was 15.87±0.6823 and it was statistically significant. Onset of breast feeding post-operatively (hour) in early onset feeding group was 2.418±0.6946 and in late onset feeding group was 4.674±0.965 and it was also statistically significant. Maternal satisfaction among the patients of two groups using Likert’s chart whether ‘she is happy with her allocated regimen’ showed that there was significant difference between two groups. Adoption of early post- operative feeding practice is likely to improve quality of maternal and neonatal health care service.