An epidural is performed to provide anesthesia and/or analgesia to the anus/rectum, perineum, vulva, and vagina without loss of motor function to the rear limbs. Epidurals are performed to aid with surgery of the perineum, to assist with dystocia correction, or to provide pain relief. An epidural may not totally ablate the ability of a mare to strain during delivery, but should decrease her effort sufficiently to allow the mutation of a fetus in the event of a dystocia. This chapter discusses the step by step procedure for performing the epidural with an illustration. It also discusses the precautions to be followed while performing the epidural.