Background: The purpose of this study was to evaluate the effects of ultrasound guided rectus sheath block and oblique subcostal transverse abdominis plane block as a sole anaesthetic technique for supraumbilical hernia repair without requiring mesh and vaccum drain. Method: Total 30 ASA I–II adult patients undergoing elective small size <2*2 cm supraumbilical hernia primary repair without mesh and vaccum drain requirement were included. After premedicating with injection midazolam ultrasound guided rectus sheath block and oblique subcostal transverse abdominis plane block were given using 0.5% bupivacaine plain 5 mg/ml and 2% lignocaine with adrenaline 5 micg/ml  with normal saline in the ratio 2:2:1 calculated according to weight (total volume 50 ml). Before starting the surgery fentanyl 1.5 micg/kg i/v was given to blunt visceral pain to all patients. Further anaesthesia supplementation with ketamine and complications due to the procedure were noted. Results: 19 patients (63.3%) underwent surgery without any compliant. In 6 patients (20%) at skin incision ketamine supplementation required and in 5 patients ( 16.6%) ketamine supplemented at visceral peritoneum / sac handling. No abdominal wall hematoma due to the procedure was observed. Two patients (6%) had post operative nausea. No patient required GA. Maximum surgical time was 35 minutes. Conclusion: Ultrasound guided rectus sheath block with oblique subcostal nerve block is effective alternative anaesthesia technique for primary supraumbilical hernia repair without mesh and vaccum drain insertion in adult patients.