Background: Topical anesthesia using lidocaine 2% jelly is a safe and efficient substitute for phacotrabeculectomy and clear cornea cataract surgery. The present study compared lidocaine 2% jelly and subTenon’s anaesthesia for trabeculectomy surgery. Materials & Methods: 80 patients scheduled for trabeculectomy of both genderswere divided into 2 groups of 40 each. Group I patients received sub-Tenon’s anaesthesia with 2% lidocaine and group II received lidocaine 2% jelly. A standardized sedative including propofol, fentanyl, and/or midazolam was administered to both groups. Intraoperative pain was measured using the visual analogue scale. Results: Quantity of midazolam (mg) was 1.8 in group I and 1.6 in group II, quantity of fentanyl (mg) was 51.2 and 43.8, quantity of propofol (mg) was 1.9 and 4.2, intraoperative discomfort (VAS) score was 19.3 and 20.4 and surgeon satisfaction score was 3.8 and 3.9 in group I and II respectively. The difference was non- significant (P> 0.05). Surgical technique used in group I and group II patients was use of MMC was 15 and 17, Limbal based flap in 22 and 19 and Fornix based flap in 3 and 4 patients respectively. The difference was non- significant (P> 0.05). Conclusion: For trabeculectomy surgery, topical anesthesia containing 2% lidocaine jelly is just as effective as sub-Tenon's anesthesia. Furthermore, since it avoids injections, which can result in side effects like globe rupture, conjunctival button holes, and subconjunctival hemorrhage, it might be wiser.