Introduction: In a country like ours, the increased number of surgical emergencies presenting to a hospital diverts majority of the resources towards the emergency department. Understanding this growing need makes it important to study and evaluate the distribution of these patients which shall help in developing a more efficient department. Material and Methods: We conducted a prospective study of patients undergoing emergency surgeries from December 2019 to November 2021. Total 300 patients included and study was carried out in the Department of Surgery, S.P. Medical College and P.B.M Hospital, Bikaner. Results: Majority of patients were from 21 to 40 years age group (43.66%). There were 208 males and 92 females. The male to female ration in our study was 2.26:1. Out of 300 patients, 82 patients (21.33%) had acute appendicitis 50 patients (16.66%) had hollow viscus perforation and 40 patients (13.33%) had intestinal obstruction. Most common surgical intervention done was exploratory laparotomy followed by appendectomy. The average hospital stay in our study was 6.6 days. Surgical site infection