This is a preliminary result of an ongoing thesis work of Post Graduate Resident of Plastic Surgery in a tertiary care Institute. Aim of study was to evaluate the role of topical lignocaine solution in pain management of acute burn in first 24 hours. Eighteen patients were grouped into study and control group. Topical application of 2% lignocaine solution (5 mg/kg) with supplemental oral ketamine (3mg/kg) in the study group was compared with normal saline in the control group. Pain score and analgesic consumption were analyzed. There was no significant difference in acute pain relief between the study and control groups.