Management of blood sugar levels in perioperative period is critical. Effect of surgical stress and anaesthesia have unique effect on blood sugar level, which is taken in consideration to maintain blood sugar level. It is challenging aspect of preoperative patient’s care. Anxiety changes the physiological response to anaesthesia and surgery. There is overall effect on the perioperative anaesthesia outcome. Various methods are available for reducing patient anxiety before surgery. Among them are educating the patient about their surgery, preoperative counselling, music therapy in form of nature sounds, relaxation exercises, and use of anxiolytic drugs. The present study was undertaken to evaluate the efficacy of anxiolytic agent when given preoperatively in patients undergoing operative procedures under spinal anaesthesia and compared to those without anxiolytic or placebo preoperatively.