Anxiety is an unpleasant feeling that is considered a fear of a threatening danger, often the threat is unknown and always includes various emotional and hemodynamic responses experienced by the organism prior to emotional stimulation. To determine the relationship between the degree of pre-operative anxiety with post-operative pain in patients undergoing cesarean sectio with spinal anesthesia techniques at H. Adam Malik Hospital. Descriptive analytic research was conducted at Haji Adam Malik General Hospital in Medan from May to June 2020. The study population was all subjects scheduled to undergo sectio cesarea with spinal anesthesia at Haji Adam Malik General Hospital. The total sample obtained was 28 patients. The normal test of numerical data test was used with the Spearman Correlation test. The research hypothesis was tested using the Mann-Whitney test. In the study conducted on 28 samples divided into 2 groups, it was found that there was a moderate and direct relationship between APAIS scores and VAS scores. Based on this study, it was found that the average preoperative APAIS score was 11.07 (± 3.79). And for the mean value of postoperative VAS is 2.37 (± 1.04). In the result of this study it was found that there was a moderate and unidirectional relationship to the APAIS score and this VAS score (p <0.05). While the preoperative APAIS score was 11.07 (± 3.79). And for the mean postoperative VAS-A value is 3.33 (± 1.03). In the result of this study also found that there is a strong and direct relationship in the APAIS score and this VASA score (p<0.05). There is a moderate and direct relationship between APAIS scores and this VAS score and that there is a strong and direct relationship in the APAIS score and this VAS-A score

Keywords : The Amsterdam Preoperative Anxiety and Information Scale (APAIS), Visual Analogue Scale (VAS), Visual Analog Scale for Anxiety (VAS-A)