Celiac plexus neurolysis is a pain management procedure that can provide relief for patients experiencing intractable abdominal pain from upper gastrointestinal malignancies. It involves injecting neurolytic agents such as ethanol to disrupt the celiac plexus, the main nerve structure supplying the upper abdominal organs. Key indications are pain from pancreatic, gastric, or biliary cancers. The procedure is image-guided and involves positioning needles anterior to the aorta to inject agents into the retroperitoneal space containing the celiac plexus. Potential complications include temporary diarrhea, hypotension, and rare neurological issues. Studies show it can reduce opioid usage and abolish pain in 70-90% of cancer patients when performed appropriately.