Introduction: Caesarean section (C-section) remains a prevalent surgical intervention globally, Postoperative pain is one of the most common therapeutic problems in hospitals. The study aims to evaluate the effectiveness of hand reflexology upon post caesarean pain. Materials and Methods: A quasi-experimental pretest-post-test design was used to achieve objectives. Mothers were selected through total enumerative sampling with a sample size of 70 mothers, among them 35 were assigned to control and interventional group.The researcher collected the data using demographic variable proforma, obstetrical proforma, a Numerical pain rating scale, and a Rating scale to assess the acceptability of Hand reflexology through interview. Results: The study found that all mothers in the control group experienced severe pain before and after therapy, while in the intervention group, severe pain reduced from 100% to 54.29% at 30 minutes and to 60% at 60 minutes. Pain scores in the control group showed minimal reduction (8.71 to 8.51, t=2.02; 8.71 to 8.57, t=1.53), whereas the intervention group experienced a significant decrease (8.4 to 6.91, t=10.11; 8.4 to 6.77, t=13.97). Significant associations were found between pain levels and factors such as occupation (χ²=7.38, p<0.05), type of family (χ²=6.20, p<0.05), education (χ²=5.25, p<0.05), and gestational weeks (χ²=12.71, p<0.05) in the intervention group. Conclusion: The findings of the study indicated that the hand reflexology reduces the post operative pain. Hand reflexology over the reflexology point is a simple, easy to implement and most acceptable way to cope with pain among post caesarean mothers.