The authors present their experience with subarachnoideal anesthesia with 0,5% hyperbaric bupivacaine with morphine supplement, comparing it with general anesthesia and subarachnoideal anesthesia with hyperbaric bupivacaine only. This method resulted in excellent postoperative analgesia with statistically proven decreased need for analgesics in the postoperative period. The adverse effects are not severe and are not more frequent compared to other types of anesthesia. According to financial aspects, the expenditures associated with this type of anesthesia do not raise above expenditures on general anesthesia. Preservative-free morphine only can be used, and close postoperative observation and monitoring should be available.

        Key words: hyperbaric bupivacaine – preservative-free morphine – postoperative monitoring