This prospective randomized open label clinical trial will be carried out on 90 male patients undergoing elective idiopathic gynecomastia surgery in Tanta University Hospitals.
Study design:
Patients will be randomly allocated into three equal groups by computer generated sequence through sealed opaque envelopes:
Group C: 30 patients will receive bilateral tumescent local anesthesia as a control group.
Group TPVB: 30 patients will receive bilateral US guided thoracic paravertebral block.
Group TIPB: 30 patients will receive bilateral US guided thoracic interfascial plane block.
