BACKGROUND AND OBJECTIVES: Total hip replacement surgeries may result in intense postoperative pain. There are many analgesia techniques available in clinical practice and lumbar erector spine plane (LESP) block may be an option of an effective technique with milder adverse effects and easier execution. CASE REPORT: Female patient, 23-year-old, allergic to morphine and tramadol, underwent a total left hip arthroplasty under mild sedation, no opioid spinal anesthesia and ultrasound guided LESP. After the surgery the patient's pain was under control, and methadone rescue analgesia was not used. CONCLUSION: LESP block is easy to perform and may be effective for postoperative analgesia in hip surgeries, with fewer adverse effects than other techniques.

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