Background: Surgical trauma induces systemic inflammatory responses. We aimed to evaluate the influence of different analgesic models on postoperative pain and inflammatory markers modulation after major abdominal surgeries. Materials and Methods: A total of 105 patients scheduled for elective abdominal colorectal surgeries were selected and randomly assigned to one of the three groups: Group-1 (GM) four micrograms/kg of IT morphine,Group-2 (GML) four microgram/kg of IT morphine plus 1. 5 mg/kg intravenous Lidocaine loading dose and 2 mg/min saline infusion during the operation and the next 4 hours postoperative,Group-3 (G0, control group) no added drugs. Results: Pain scored statistically significant lower figures in GML than the other two groups,p<0. 001. Tumor Necrosis Factor-alpha serum levels showed a statistically significant difference between the three groups,P <0. 001,GML showed the lowest level, followed by group GM and Group 0 (10. 3±, 4. 4 vs. 20±, 4. 4 vs. 26±, 7. 5). Transforming Growth Factor beta-1 demonstrated the highest levels measured in GML, high levels in GM, and the lowest level in G0,p<0. 001, where mean serum levels were 43. 1±, 12. 5, 26 ±, 4. 2, and 18. 9±, 7. 7, respectively. Opioid consumption was significantly lower in GML than other two groups,P<0. 001. Conclusion: Intraoperative and early postoperative intravenous Lidocaine infusion significantly improved the quality of postoperative analgesia. Optimizing analgesia in anesthetic management has a favorable effect on the pro and anti-inflammatory mediators.