Abdominal wall blocks provide an alternative to the gold standard, epidural analgesia, as a part of multimodal analgesic regime for pain relief following a variety of abdominal surgeries. The ubiquitous availability of ultrasound and the paradigm shift to deposition of local anaesthetic into interfascial planes popularized abdominal wall blocks. Over the years, a better understanding of cadaveric, clinical sonoanatomy, and techniques have emerged. However, with certain abdominal wall blocks, spread of local anaesthetic is neither consistent nor predictable. This concise update presents details pertaining to ultrasound guided abdominal wall blocks.