The aim of this study was to evaluate the sedative effects of music on bispectral index values, propofolconsumption and patient satisfaction during local urological surgeries. The study protocol was approved by themedical ethical committee of our hospital and a written consent was obtained from each patient. Sixty malepatients undergoing local urological procedures under sedation were randomly assigned into two groups: In groupI (n=30), sedation was given to patients while they were wearing earphones without any music and in group II(n=30), sedation was given to patients while they were listening to music via earphones. 0.4 mg/kg propofol wasgiven to all patients at the beginning of the operation and 1 mg kg -1 h -1 propofol infusion was started. Patientcontrolled analgesia device was adjusted to infuse 0.3 mg kg-1 propofol according the patients’ demands. Visualanalog patient satisfaction scale was used to evaluate patient satisfaction. The total propofol consumption anddemand of the patients were noted using the records of the PCA device. The propofol consumption of thepatients in group II were lower when compared with group I and patient satisfaction was better in Group II (pvalues < 0.05). Listening to music during local urological procedures was effective in reducing patients’ anxiety,pain and sedative drug dose. Accordingly, this simple and cost-effective method can be used to support patients’sedation during local procedures. (Anatol J Clin Investig 2009:3(2);131-