Laparoscopy is a surgical technique used for basic diagnosis and treatment. Theadvantages of laparoscopic techniques compared to open surgery have been demonstrated bystudies. With the developing medicine and technology, minimally invasive approaches havebeen targeted in interventional procedures. In laparoscopic surgeries, access to theabdomen is provided with the help of a trocar and a temporary pneumoperitoneum is createdwith gas insufflation. Despite all these developments, even when laparoscopic techniquesare used, postoperative pain is the most disturbing issue for patients. Postoperativepain can seriously reduce the quality of life in patients and acute pain can even triggerchronic pain syndromes. Epidural analgesia, paravertebral, erector spinae plane,intercostal nerve, transverse abdominis plane, external oblique, modifiedthoracoabdominal plane, rectus sheath block are used for anesthesia and analgesia duringlaparoscopic abdominal surgeries (LAS). In recent years, regional nerve blocks, includingerector spinae plane block (ESPB) and modified thoraco-abdominal plane block (M-TAPA),have been applied for the treatment of pain in patients undergoing LAS due to variouscauses. ESPB was first described by Forero et al. in 2016 and has been frequently usedfor the treatment of acute pain in the postoperative period following abdominalsurgeries. ESPB can be applied at any level from cervical to sacral, covering dermatomesappropriate for the surgical area under USG guidance. Cadaver studies for the ESPBmechanism have shown that local anesthetic spreads ipsilaterally and contralaterally andthat it has analgesic efficacy both on the side where it is applied and on the oppositeside. This peripheral nerve block, which is usually applied at a single level, can alsobe applied at bi-level. Studies have also shown that when ESPB is applied at bi-level,analgesic efficacy increases due to local anesthetic spread.M-TAPA is a new peripheral nerve block technique defined by Tulgar et al. It has highanalgesic efficacy in thoraco-abdominal surgery. It has been shown to be advantageous inupper umbilical surgeries by involving more dermatomes compared to the transverseabdominis plane block. Lateral and anterior branches of thoraco-abdominal nerves areblocked with M-TAPA. It provides analgesia in a wide area between T5 and T12 and can alsobe applied for LAS. In our clinic, Bi-level ESPB or M-TAPA is routinely applied tosuitable patients after anesthesia induction, and intraoperative anesthesia is maintainedwith inhalation and intravenous anesthetic agents. Multimodal analgesia management hasbeen adopted as postoperative analgesia management.