Abstract : Midline approach for spinal anaesthesia is the most commonly used technique in practice compared to paramedian or lateral approach. A study was carried out in 50 patients undergoing LSCS of which 25 patients were given midline prick whereas other 25 were induced by giving paramedian prick for spinal anaesthesia. The results of better technique of induction was decided on basis of: Accuracy of getting through subarachnoid space without failure. Complaints of PDPH. Complaints of post dural puncture backache. Damage to spinal needle. Haemorrhagic tap. To study whether spinal anaesthesia through classic midline prick is better than paramedian approach in patients undergoing LSCS. A prospective randomised study was carried out in 50 pregnant females with maximum gravida score of 2 and all patients were divided in 2 groups of 25 each. The present study showed significant decrease in incidence of PDPH, post dural puncture backache, attempt to reach subarachnoid space and damage to spinal needle through paramedian approach. Spinal anaesthesia through lateral/ paramedian approach is better than classical midline approach.