1. Introduction 2. Anatomy and physiology 3. Pharmacology 4. Patient selection 5. Pre-operative preparations 6. Technique of performing spinal anaesthesia 7. Patient monitoring 8. Post-operative care 9. Spinal anaesthesia in the obstetric patient 10. Spinal anesthesia in general surgery and specialties 11. Complications of spinal anaesthesia 12. Failed spinal anaesthesia 13. Challenges in performance of spinal blockade 14. Recent advances in spinal anesthesia 15. Conclusion