Background: This study was conducted to evaluate the Comparison between general and spinal anaesthesia for elective caesarean section on maternal and foetal outcomes. Material and methods: A retrospective analysis of data from 100 individual births was conducted. The data focused on the outcomes of both the mother and the foetus after the use of general or spinal anaesthetic for elective caesarean section. We then compared these results. Two anaesthesiologists were responsible for administering anaesthesia during the obstetric operations. Both anaesthesiologists administered anaesthesia using identical anaesthetic drugs. Patient monitoring, extubation criteria, and the spinal method were all carried out in accordance with our institutional practice. The exclusion criteria encompassed the requirement for urgent or epidural anaesthesia, the transition from spinal to general anaesthesia, and deliveries when bleeding was expected, such as placenta previa or coagulopathy. The subjects were divided into 2 groups of 50 subjects each. Group 1 was for general anaesthesia and Group 2 was for spinal anaesthesia. Statistical analysis was performed using SPSS software. Results: Maternal outcomes: It was observed that the pre-operative SBP and postoperative SBP were higher in the general anaesthesia group as compared to spinal anaesthesia group. The pre-operative HR was higher in the 2nd group (90.6 beats/min) as compared to 1st group (83.4 beats/min). the postoperative HR in 1st and 2nd group was 95.8 beats/min and 73.4 beats/min, respectively. The estimated blood loss in 1st group was higher (762.3 ml) as compared to the 2nd group (691.9 ml). Foetal outcomes: The foetal weight of the group 1 newborns was slightly lesser (2861.3 g) than those of the 2nd group (2867.5 g). 10 out of 50 newborns from 1st group showed 1- min Apgar score < 7 whereas 7 newborns from 2nd group showed the same. 2 out of 50 newborns from the 1st group showed 5-min Agpar score <7. Conclusion: The general group was characterized by higher levels of maternal blood loss and a greater percentage of newborns with 5-minute Apgar scores below 7 compared to the spinal group in caesarean procedures. Keywords: GA, spinal anaesthesia, maternal, foetal, outcomes, blood loss, delivery.