 Ultrasound guided thoracic epidural catheter placement, TCP, is a safe and effective method for providing postoperative analgesia in patients undergoing open abdominal surgery. It offers several advantages over traditional methods such as improved accuracy, reduced risk of complications, and faster onset of action. Ultrasound guided TECP requires a certain level of skill and knowledge, however, which can be acquired through training and experience. The authors provide a comprehensive review of the technique, including patient positioning, ultrasound probe selection and scanning, needle insertion, and confirmation of successful catheter insertion. They also describe the recommended epidural catheter tip placement level and the extent of its injectate epidural spread. This article was authored by Jang Hyuk Lee, Du Won Kim, and Won UK Co.