After cleaning and application of a local anaesthetic, we slowly introduce an epidural needle through the skin and ligament of the spine, ultimately into the "epidural" compartment of the spinal column. Usually we then place a tiny catheter into this space through which various agents can be administered to provide pain relief or lower-body anaesthesia. Epidural anaesthesia is performed many dozens of times a day around the Auckland region and is known to be extremely safe and effective.