In clinical practice, Some doctors advise patients to remain in bed after a spinal anesthesia to prevent spinal headache, but bed rest often induced patients' discomfort or even complications such as venous stasis in people with risk factors. This review assess prolonged bed rest or immobilization can prevent post-dural puncture headache after spinal anesthesia? Postdural (post-lumbar or post-spinal) puncture headache is the most common complication of spinal anesthesia. It is caused by leakage of cerebrospinal fluid from the dural, resulting in a decrease in CSF volume and pressure may cause a downward pull on pain-sensitive structures resulting in a headache. Patients with PDPH characteristically present with frontal or occipital headache that is exacerbated in an upright position and improved in the supine position. In addition to symptomatic treatments such as bed rest, hydration, administration of analgesics and application of an epidural blood patch. This review found that there is no evidence to support bed rest or immobilization for preventing headache following lumbar puncture. Moreover, PDPH is not a life-threatening condition. Therefore, we suggested that bed rest after lumbar puncture (spinal anesthesia) to prevent post-dural puncture headache should not be routinely recommended. Patient should be allowed to move freely in bed.