Pain is an extremely complex condition. It’s not just a feeling, but a group of reflex reactions, learning, memorization, emotional and behavioral responses. When intense, pain may have a negative influence in patient’s progress, slowing his healing. The evaluation of pain helps in selection of the treatment and therapeutic conduct. The judicious evaluation of pain is the key to an adequate treatment. Objective: Presenting the results of post-operatory pain prospective evaluation of patients submitted to gynecological surgery in FSCMPA. Methods: Post-operatory pain evaluation of patients submitted to gynecological surgery was carried out, by means of a research protocol based on analogical visual and numerical scales, assessment of data such as: age, biotype, psychological state, type and duration of surgery procedure, anesthetic technique, therapeutics modality, pain intensity and intercurrent events. Results: In the first evaluation, 6 hours after surgery, the number of patients that refereed some pain (mild to unbearable) represented 68,7% (n = 206), greater than patients that refereed no pain, 31,3% (n = 94). As the age increased, also did the difference between the pain modalities, no pain and unbearable pain. Unbearable pain percentage was lower in the 60-year-old patient group compared to others. Among the patients that had no pain in the early hours of evaluation, 73% were calm the day before the surgery. In the other categories, there was a predominance of anxiety, concern and / or nervousness. It was observed that patients who underwent less-than-one-hour surgery showed better results with absence of pain in most cases (64%), and that as long as the duration of the procedure increased, so did the incidence of pain. Pain control during this study was done by the use of Dipirona, cetoprofeno and sodium diclofenac. Only eighteen (6%) patients had to use opioids, tramadol (14 cases) and meperidine (4 cases). Nausea, vomiting, headache, hypotension, pruritus, fever and urinary retention were the main intercurrent events found, either alone or associated, in 36% (n=64). The most frequent ones were nausea and vomiting, reported in 44%. Náusea and/or vomitting were reported in 73,1% of the cases, when considering the association of symptoms. It was also noticed that as the pain intensity grew, so did the incidence of the incurrent events. Conclusion: Pain may cause harmful consequences to the organism and thus must be treated properly. Besides it’s not recognized as the 5th vital sign, it’s also not evaluated and undestimated in most cases due to the lack of knowledge of the health professionals on this topic.
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