Introduction: Despite the increased knowledge of pain management in recent years, the research evidences show a high prevalence of pain among patients undergoing surgeries. Health professionals’ views and perceptions are essential to enhance pain management among surgical patients.

Aim: To explore the factors perceived by professionals on post-surgical ward units related to post- surgical pain management among adult surgical patients.

Method: A qualitative ethnography design was used. Thirty-one health care professionals working in from the surgical units were interviewed and observed. Interviews were recorded and transcribed. Data were thematically analyzed.

Findings: Three main categories were formulated based on data as (1) Presence of obstacles during pain management, (2) Effective pain management using different approaches, and (3) Improvement opportunities for pain management practice.

Conclusion: Post-surgical pain management is complex and challenging to the health professionals in post-surgical wards. The present pain management practice is good though many opportunities for improvement. The optimal practice is limited by various barriers. Eliminating perceived barriers, implementation of identified suggestions and team approach including the patients are important for effective post-surgical pain  management.