To determine the importance of nerve block in rib fracture patients. Methods: During the period July 2015- December 2016 a retrospective study took place. Sixty three patients diagnosed already with rib fractures underwent nerve bock by thoracic surgery department at General Hospital of Athens – Red Cross- Korgialenion Benakion, - Athens Greece. Results: All 63 patients received nerve block and 43 of them received nerve block and Diclofenac injection. Post nerve block period (7 to 10 days) along with regularly analgesic-NSAID medication the recorded pain has been reduced to satisfactorily. Conclusion: Provides satisfactory pain relief with low cost. It can combine with analgesic and ant inflammatory medication. Reduces also hospitalization.