Abstract     Introduction: Surgery is at the end of the spectrum of the classic curative medical model and, as such, has not been routinely considered as part of the traditional public health model. However, no matter how successful prevention strategies are, surgical conditions will always account for a significant portion of a population’s disease burden, particularly in developing countries where conservative treatment is not readily available, where the incidence of trauma and obstetrical complications is high, and where there is a huge backlog of untreated surgical diseases. Aims and Objectives: To study Distribution of Cases and Outcome at Surgery Inpatient Department of a Tertiary Care Hospital Methodology: This was a Hospital Based, Cross-sectional study at Tertiary care hospital during the year Jan 2013 to Jan 2014, during one year period. All the patients admitted to Surgical ward irrespective of surgery or not during one year period was noted. Total 1095 were found admitted to ward during this year. All the necessary data was collected using, pretested, semi-structured questionnaire. Result: Most common age of the patients were 51-60 (34.70%) followed by 41-50 (26.48%); 31-40 (14.61%); 21-30(13.70%); 11-20 (6.39%);<10 (4.10%).  Majority of the patients were Male (60.00%) and Female (40.00%). Most common surgical condition found was Hernia and Hydroceles (18.35%)Followed by Appendicitis  (13.15%), Burn (9.58%), Head Injury (8.40%), Gangrene of Foot (7.67%) ,Intestinal Obstruction (6.39%), Diabetic Foot Ulcer (6.02%), Acute Cholecystitis  (5.93%), Ureteric Calculus (5.38%), Thyroid Nodule (4.47%), Benign Breast Lump (4.20%), Blunt injury to Abdomen (3.47%),Perforating injury (2.37%), Ca –Breast (1.18%), Ca-Caecum (0.82%), Ca-Thyroid (0.73%) Ca-Rectum (0.63%), Ca-Penis (0.54%), Seminoma (0.45%).Overall the 71.96% Improved at The time of Discharge and 21.91% patients was completely recovered 5.29% patients has taken Discharge against Medical Advice and in 0.82% patient death has occurred. Conclusion: With increasing age the surgical conditions have become more prevalent, Overall mortality observed in our study in  surgical patients to be 0.82% while; 71.96% patients Improved at The time of Discharge and 21.91% patients was completely recovered 5.29% patients has taken Discharge against Medical Advice.

Keywords: Surgery Inpatient Department, Outcome of Surgeries.