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Our aim is to elucidate the relationship between mediolateral episiotomy (MLE) angle and postpartum perineal pain. This study was designed prospectively. Primiparous women with MLE in the postpartum period were included in the study and divided into three groups according to episiotomy angle ranges (Group 1 40°, Group 2 40°-60°, and Group 3 60°). Postpartum perineal pain was quantified with the short-form McGill Pain questionnaire (SF-MPQ) consisting of the following three parts Sensory-affective-verbal descriptions, visual pai