Aim: To analyse how combining ropivacaine with dexamethasone in multimodal analgesia amplifies pain management and decreases postoperative discomfort (including nausea, vomiting, and rescue analgesia use) compared to using ropivacaine alone in patients undergoing laparoscopic surgery, with a focus on improving recovery outcomes. Results: The initial patient distribution between groups showed no significant difference, our study highlighted substantial differences in key outcomes. Patients receiving multimodal analgesia (ropivacaine with dexamethasone) had significantly less postoperative nausea, vomiting, lower pain scores (VAS), decreased need for rescue analgesia, and longer intervals before requiring additional pain relief compared to those receiving ropivacaine alone. Conclusion: Combining ropivacaine with dexamethasone for laparoscopic surgery patients gives superior pain relief compared to using ropivacaine alone. This dual approach not only reduces pain more effectively but also reduces nausea, vomiting, and the use of additional pain medication. It aims to enhance postoperative comfort and expedite recovery for patients undergoing these procedures." © 2025 Elsevier B.V., All rights reserved.