Background　Pectus excavatum(PE) is the most common congenital chest wall deformity and the Nuss procedure is the conventional surgical treatment for this disease. Although the Nuss procedure is minimally invasive, it incurs severe postoperative pain, which is undoubtedly a major factor that affects the postoperative recovery in patients with pectus bar placement. Optimizing pain management in the early post-operative stages is highly demanded to facilitate the recovery of normal function and to improve life-quality, but it is challenging.　Objective　To summarize postoperative analgesia currently used for pain management in PE patients after Nuss procedure.　Content　The analgesics applied to relieve postoperative pain in PE patients include opioids, ketamine, lidocaine, and non-steroidal anti-inflammatory drugs. Either single analgesics or combination of several drugs were administered by a variety of strategies, such as, intravenous analgesia, thoracic epidural analgesia, intercostal block, thoracic paravertebral block, and multimodal anesthesia. The perioperative hypnosis and anxiolytics are also helpful to relieve pain in these patients. The advantage and disadvantage of these analgesia strategies were also discussed.　Trend　The pain management strategies should be designed according to patient's preference and available institutional resources. The optimal strategy suitable for a particular type of patient needs further investigation.