Objectives: Abdominal wall blocks became a part of clinical anesthesia practice 35 years ago. Their popularity has dramatically increased in the last decade, thanks to the introduction of simple and effective ultrasound guided techniques such as the transversus abdominis plane (TAP) block and more recently the quadratus lumborum block (QLB). In Serbia, the use of regional anesthesia (RA) and analgesia techniques in obstetric and gynecology cases has been low. Neither TAP block nor QLB for post Cesarean pain management were used in Serbia prior to April of 2017. Members of the Department of Anesthesia at Leskovac General Hospital, Serbia (LGH), asked for help in order to train physicians in the use of RA techniques for obstetric, orthopedic and general surgery cases. A 4 day teaching visit by fellowship trained regional anesthesiologist and 5 day visit by fellowship trained obstetric anesthesiologist from the USA were arranged. Method: Similar programs were done before in Serbia in area of intraoperative obstetric anesthesia (Kybele program).1 Based on the success of the Kybele program, we decided to do a similar program in area of peripheral nerve (trunk) anesthesia. From the LGH anesthesia database for period 4/24/17 to 5/5/17 data on all Cesarean Delivery (CD) and gynecology cases were obtained. All cases where US trained anesthesiologist was involved were checked for quality of pain relief. An ultrasound (eZono 4000, Jena, Germany) and 100 mm needles (Stimuplex A, BBraun, Melsungen, Germany) were available during the visit. Results: During the study period, 34 CD and 9 gynecological cases (hysterectomies) were done at LGH; 29 (85%) CD were done under general anesthesia (GA), 5 (15%) CD were done under spinal anesthesia and all of hysterectomies were done under GA. US anesthesiologist was involved in 18 CD and 9 hysterectomies. Two of the local anesthesiologists were actively involved in performing regional blocks under the supervision of US anesthesiologist. They performed bilateral QL type 1 block in 26 patients after recovery from GA, and in 1 patient after recovery from spinal anesthesia for postoperative pain management. Twenty-six (96%) of 27 patients with QLB had an adequate postoperative pain control (0-2/10 VAS score). During the visit, the expertise of local physicians progressively increased. By day number 4, two members of the department were ready to do blocks on their own. Conclusion: In order for LGH to become recognized as a leading facility in regional anesthesia, the use of RA techniques must increase. A several day teaching visit can significantly improve the skills of local anesthesiologists. It is important to focus on few blocks only, so that the local team can gain experience in blocks that their patients need. We plan to monitor regional anesthesia use at LGH in the next 12 months. Future visits are planned in order to evaluate performance of trained people, teach local anesthesiologists additional peripheral nerve blocks and train physicians from surrounding hospitals.