Background– Postdural Puncture headache (PDPH) remains the most frequent complication of central neuraxial blockade. It can occur following uncomplicated spinal anesthesia as well as accidental dural puncture in epidural anesthesia. Methods– In the hospital based prospective study of 200 subjects of ASA grade I and II ranging from 18 to 45 years who underwent lower segment caesarean section under spinal anesthesia were taken into consideration. Results– In comparison there was no significant difference from that of 25– and 26–gauge Quincke needles midline and paramedian approach (8.00%, 4.00%, 4.00%,2.00% respective). All cases of PDPH were mild in nature Conclusion– No significant difference from that of 25– and 26–gauge Quincke needles was observed and paramedian approach using quincke level needle reduces the incidence of PDPH.