Study objectiveSacral erector spinae plane block (ESPB) is a regional anesthesia technique defined for the blockade of the posterior branches of the sacral nerves. In this study, we aimed to retrospectively evaluate our sacral ESPB applications as an anesthetic method in patients who underwent parasacral and gluteal reconstructive surgery.MethodologyThe design of our study is a retrospective cohort feasibility study. This study was conducted at a tertiary university hospital, and patient files and electronic data systems were used to obtain data for analysis. In total, the data of 10 patients who underwent parasacral or gluteal reconstructive surgery were evaluated.Main resultsDuring reconstructive procedures for sacral pressure ulcers and lesions in the gluteal region, the sacral ESP block was utilized. Small doses of perioperative analgesics/anesthetics were required, but moderate or deep sedation or conversion to general anesthesia was not required.ConclusionSacral ESP block is a viable regional anesthetic technique in reconstructive surgeries of the parasacral and gluteal regions.