Morphine has significant clinical and analgesic effects in horses, but its impact on the gastrointestinal tract requires further understanding. This study assessed the analgesic and gastrointestinal effects of morphine in horses undergoing elective orchiectomy in the quadrupedal position. Thirty uncastrated male horses were randomly assigned to three groups: orchiectomy without morphine and sedation protocol (OSM), orchiectomy with morphine and sedation protocol (OM), and administration of morphine alone in the absence of orchiectomy (M). The anesthetic protocol involved acepromazine (0.05 mg/kg IV) and detomidine (10 mcg/kg IV) sedation in groups OSM and OM, with morphine sulfate (0.05 mg/kg IV) given to OM and M, and NaCl to OSM. The team measured clinical parameters, pain, and sedation using the EQUUS-FAP scale, while they monitored bowel motility and gastric dilation through abdominal ultrasound. These assessments were performed on the previous day (m1), 20 min before surgery (m2), and at various time points following the administration of morphine or saline solution: one hour (m3), two hours (m4), four hours (m5), six hours (m6), and eight hours (m7) post-procedure for all three groups. There was no significant difference in pain score between OSM and OM, though OM had better sedation. Ultrasound revealed decreased colon contractions and minor gastric dilation in OSM and OM, normalizing within 6 h. Group M showed reduced motility and significant gastric dilation lasting 8 h. In conclusion, while morphine enhanced sedation without causing greater gastrointestinal dysfunction than OSM, its administration alone resulted in a more pronounced reduction in gastrointestinal motility and an increased risk of gastric dilation.