Background Acute pain following surgery is common and constitutes a significant healthcare priority because of its potential impact on quality of life. The use of transversus abdominal plane block (TAP-B) has emerged as a current approach to alleviate postoperative pain. This study was designed to (a) assess the scientific trends in the use of TAP-B and (b) determine the trend toward the decision to use TAP-B, especially when central neuraxial blocks are technically difficult or contraindicated. Materials and Methods This study examines TAP-B research from a bibliometric perspective. As of June 12, 2023, the literature related to TAP-B published in the last two decades (2003-2023) was retrieved from the Web of Science Core Collection database. The keywords “transversus abdominis plane” and “abdominal” were used for the search strategy. Data analysis and visualizations were conducted using VOSviewer 1.6.0. RESULTS A total of 546 studies were examined, with the year 2021 (n=1491) receiving the highest number of citations and 2022 (n=56) being the most productive year in terms of publications. The first publication in 2007, authored by McDonnell JG. from Ireland, had the highest publication frequency (n=9) and citations (n=498). CONCLUSION Studies in the literature indicate an increasing trend in the use of TAP-B for postoperative pain management after lower abdominal surgery, which emphasizes its efficacy. The TAP block is emerging as a cornerstone in postoperative multimodal analgesia in cases where central nerve blocks are contraindicated or technically difficult, especially where central neuraxial blocks are contraindicated or technically difficult.