Background: Effective pain management is crucial and has been acknowledged as an anesthesiologist's top priority. The initial postoperative intake of oral nourishment, the decrease in perioperative stress reactions and organ dysfunction, the avoidance of weariness, better mobilization, and the earliest postoperative release all depend heavily on postoperative pain treatment. Aim and Objective: The present research was aimed to study the Hemodynamic changes and side effects between epidural bupivacaine with low dose butorphanol and epidural bupivacaine alone in patients undergoing elective infra umbilical surgeries. Methodology: The Department of Anaesthesiology at Santosh Medical College & Hospital in Ghaziabad, Uttar Pradesh, conducted this prospective, randomized clinical study between the years of 2018 and 2020 with approval from the Board of Studies and Ethical Committee. There were 60 ASA grade I/II patients in the overall sample. Result: There were 23.3% females and 76.7% males in the study population. In the groups receiving bupivacaine alone, the mean age was 39.26 10.82 years, while in the groups receiving bupivacaine with butorphanol, it was 36.44 10.19 years. Nausea and Vomiting was found to be significantly more among Group Bupivacaine (33.3%) compared to Group Bupivacaine + Butorphanol (20.0%). Conclusion: The study found that when compared to bupivacaine alone, bupivacaine plus low dose butorphanol offered greater anaesthetic characteristics and post operation analgesia