Introduction/Background The attitude towards perioperative care in gynecology is continuously evolving. A necessity of an implementation of a holistic approach is highlighted by the Enhanced Recovery After Surgery Society guidelines. The study performed by the Students’ Scientific Group at the University Oncology Center in Bialystok aimed to determine which factors have an impact on the more severe postoperative pain.

Methodology The survey involved patients undergoing gynecologic surgery from XI 2020 to III 2022. A psychosocial condition was assessed by the original questionnaire at admission. Information about pain level was provided by patients themselves using the Numeric Rating Scale (0–10) 3 times per day for 3 days. A study examined the relationship between gathered variables and pain level.

Results From a total of 115 patients (median age 50), 63 completed all the questionnaires. Approximately a half of them (n=30) was diagnosed with a malignancy. Patients who declared greater anxiety related to the procedure experienced significantly more severe pain (p=0,041). Majority of patients declared an active lifestyle, albeit most of them discontinued it before surgery. Additional application of regional anesthesia provided a significant reduction of pain (p=0,017). The severity of a postoperative pain was not associated with: age, BMI, type of incision, indication (malignant or non-malignant) and a scope of an operation. Averagely, the most severe pain was experienced in the evening the next day after the surgery.

Conclusion Reduction of patients’ anxiety should be considered a priority assignment in the process of qualifying to the surgery. Desirable actions include e.g. psychological support, education and detailed information on the course of the hospitalization. To reduce the postoperative pain and the administered doses of systemic drugs, regional anesthesia should be considered. Medical staff must be aware that perioperative care begins much earlier than on the day of admission to the hospital.