IntroductionEpidural analgesia is a cornerstone in labor pain management, offering targeted pain relief that greatly enhances patient satisfaction and the overall childbirth experience. While its safety and efficacy are well-documented, the potential for rare but serious neurological complications requires careful consideration. Instances of transient or persistent paresthesia, though infrequent, underscore the necessity for a thorough understanding of the neurological impacts associated with epidural procedures.Neurological adverse effects, occurring at rates between 0.03 to 0.1%, can stem from various factors, such as direct needle trauma, ischemic events, or inadvertent administration of neurotoxic agents1. Other complications are unintended intravascular or intrathecal injections of local anesthetics, local anesthetic systemic toxicity, total spinal anesthesia, and high spinal block. This case report examines the occurrence of transient bilateral lower facial and oral sensory changes during labor epidural analgesia, underlining the importance of vigilant monitoring to ensure patient safety.