The effective relief of pain is of the utmost importance to anyone treating patients undergoing surgery. Pain relief has important physiological benefits; thus, watching of pain relief is more and more changing into a very important operative quality live. The goal for operative pain management is to scale back or eliminate pain and discomfort with a minimum of facet effects. numerous agents (opioid vs. nonopioid), routes (oral, blood vessel, neuraxial, regional) and modes (patient controlled vs. “as needed”) for the treatment of operative pain exist. Though historically the mainstay of operative physiological condition is opioid based mostly, a lot of} more proof exists to support a multimodal approach with the intent to scale back opioid facet effects (such as nausea and ileus) and improve pain scores. The information can be published in our peer reviewed journal with impact factors and are calculated using citations not only from research articles but also review articles (which tend to receive more citations), editorials, letters, meeting abstracts, short communications, and case reports. The inclusion of these publications provides the opportunity for editors and publishers to manipulate the ratio used to calculate the impact factor and try to increase their number rapidly. Impact factor plays a major role for the particular journal. Journal with higher impact factor is considered to be more important than other ones.