In this study, we compare sublingual buprenorphine and intravenous morphine for postoperative analgesic effect, hemodynamic changes, nausea, and vomiting. A total of 100 patients, aged 18-60 years old, and in ASA Class I, II, undergoing lower limbs orthopedic surgery, herniorraphy, or varicocelectomy were studied. The patients were randomly assigned to receive sublingual buprenorphine (0.4mg) or IV morphine (6mg) before administration of analgesic after the operation. Vital signs, o2sat, pain severity, nausea & vomiting, itching, respiratory rates, and hemodynamic changes were assessed and compared between groups.