Background: Inguino-scrotal surgery is one of the commonest procedures in children and is associated with significant postoperative pain. Regional block is employed to provide analgesia in these procedures. The aim of the present study is to compare ilioinguinal/iliohypogastric block and caudal block for postoperative analgesia in children undergoing inguinoscrotal surgeries. Methods and Material: Hundred children aged 1-6 years scheduled to undergo inguino-scrotal surgeries were randomly allocated to receive either ilioinguinal/iliohypogastric block (group 2) or caudal block (group 1) with 1ml/ kg of 0.125% bupivacaine. Postoperative pain was assessed with modified objective pain scale. Statistical Analysis Used: Chi-square test and student t test was used where applicable to determine whether there was a statistical difference between the groups in the parameters measured. P less than 0.05 was considered as statistically significant. Results: The duration of analgesia produced by ilioinguinal/iliohypogastric block was comparable to caudal block (342±112.4 min in group 1 and 354±98.6 min in group 2, P>0.05). the time to first voiding was earlier with group 2 compared to group 1. Conclusion: Ilioinguinal/iliohypogastric block is comparable to caudal block in providing postoperative analgesia in inguino-scrotal surgeries.