The popliteal block is frequently employed for analgesia and anaesthesia in below-knee surgical procedures. This study evaluates ultrasound-guided popliteal blocks using different approaches (posterior, lateral, and medial) to ascertain the optimal method concerning block performance time and patient satisfaction. Methods: This randomized trial encompassed 120 individuals slated for below-knee surgery. Patients were randomly allocated into three equal groups based on the popliteal block technique: posterior (P), lateral (L), and medial (M). We documented the number of attempts to identify the injection site, the duration of the block performance, the discomfort associated with positioning and needle insertion, and any complications.