Introduction  Caudal anesthesia is one of the most popular, reliable and safe methods of pain relief in children and can provide pain relief for various surgical procedures below the umbilicus. Material and Methods Total 52 cases with physical status I and II class of the American Society of Anesthesiologists (ASA), aged 2 to 12 years, who underwent elective surgeries below the umbilicus, such as hernia repair, orchiopexy, hypospadias repair, epispadias, etc. Results The duration of caudal analgesia was determined from the moment the caudal epidural was injected till the moment the child first complained of pain or the time when the first postoperative analgesia was required. The average duration of postoperative caudal analgesia in patients of group B was 3.12 ± 0.58, while in patients of group BD this duration was 9.36 ± 0.65 hours. Conclusion  Our results show that the addition of dexmedetomidine to the local anesthetic for caudal block significantly increases the duration of analgesia and reduces the need for analgesics