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and hemodynamic instability. Therefore, it might increase the postoperative complications especially in high-risk patients. Moreover, shivering is one of the leading causes of discomfort for postsurgical 1 patients. In previous studies, various techniques have been used to alleviate the postoperative 2 shivering. We compared the effect of single dose of intravenous ondansetron versus tramadol on shivering and nausea/vomiting in patients undergoing cesarean section under spinal anesthesia. Intraand postoperative shivering remain the common problem after surgery under spinal anesthesia. Shivering may increase cardiac output, circulating catecholamines, intracranial and Introduction Shivering is one of the common complications of anesthesia. It leads to increase oxygen consumption and increases the risk of hypoxemia and lactic acidosis which increases the catecholamine release Comparison of Intravenous Ondansetron versus Intravenous Tramadol on Post-Spinal Shivering and Nausea/Vomiting in Cesarean Sections