There are various anesthetic techniques available for management of mastectomies. The effectiveness of each technique is widely studied regarding pain control, requirement of rescue analgesia, side effects, post-operative hospital stay and development of persistent pain following breast cancer surgical treatment. Belzarena SD et al compared the effectiveness of thoracic epidural block and general anesthesia for oncologic mastectomy. Patients were divided in two groups in which they either received GA or thoracic epidural anesthesia as primary anesthetic. [10] The results showed that the quality of postoperative analgesia was better in the epidural group, which also presented with lower consumption of analgesics. The length hospitalization in this group was also lower. They concluded that an epidural block had some advantages when compared with general anesthesia and can be considered an anesthesia option in oncologic mastectomies with axillary lymph node dissection.