Background: Postoperative pain inadequately treated result in suffering, as well as multiple physiological and psychological consequences which may adversely affect perioperative outcomes and contribute to increased length of stay. Paracetamol a NSAID is an Analgesic and Antipyretic agent. Tramadol an Opioid, has been shown to provide effective analgesia after both intramuscular and intravenous administration for the treatment of postoperative pain. This prospective study is to compare the Analgesic efficacy of intravenous paracetamol and intramuscular tramadol postoperatively. Aims and Objectives: To compare the effect of Paracetamol infusion versus intramuscular Tramadol injection as post operative analgesia after gynaecological surgeries over 48 hours. 1. To compare patients' demand for analgesia and VAS score at different period of time over 48 hours. 2. To compare the number of doses given over 48 hours including the Rescue Analgesia given in less than 6 hours interval between doses 3. To compare the number of rescue analgesia needed in between the 6 hours interval between doses. Methods: The study was conducted in the