Abstract          Introduction: Small-bowel obstruction is a common surgical emergency and is a frequently encountered problem in abdominal surgery Aims and Objectives: To Study Clinical Profile of intestinal obstruction in Pediatric patients at tertiary health care center. Methodology: This was cross-sectional study carried out in pediatric patients admitted to tertiary health care center with intestinal obstruction during the Year March 2014 to March 2015. All the Pediatric Patients diagnosed as intestinal obstruction were included into study while adult patient and those who don’t give consent were excluded from the study. The symptomatology in Infants and Children above one yrs. Of age were noted. Total 69 patients were admitted during the same period of study. The all necessary investigations were carried out to diagnose the exact etiology of the disease. Result: Peak incidence is seen in age group > 1 year to 6 years (34.78%). Peak incidence in males is in age group of > 1 years (40.9%). Peak incidence in females is in age group of 0 to 1 month (33.33%). Total no of cases was 69 of which 44 were male and 25 were female accounting for 63.76% and 36.23% respectively. Sex ratio male: female= 1.76. The most common symptom in infants was Very loud cry i.e. in 84.21% followed by Fever -76.31%; Bile-like vomiting-65.78%; Grunting-63.15%; were Drowsy in 60.52% and Draws knees up to his or her chest in 47.36%. Red currant jelly stool in 31.57%. Most common symptom above 1 yr. of age were having the symptoms of Severe bloating in 90.32% cases and Abdominal pain in 80.64% ; Decreased appetite in 74.19% ; Nausea in 70.96%; Vomiting in 61.29% ; Constipation in 54.83%; Severe abdominal cramps in 41.93%; Abdominal swelling in 35.48% cases respectively. The majority of the patients were having Intussusceptions i.e. 31.87% followed by; Hirschprung’s disease- 14.49% ; Adhesions and bands-13.04%; Obstructed inguinal hernia-11.59%; Low anorectal malformation-11.59%; Intestinal atresia-05.79%; Congenital diaphragmatic hernia-04.34%; ccc-04.34%; High anorectal malformation-02.89%. Conclusion: From our study it can be concluded that The most common symptom in infants was Very loud cry, followed by Fever, Bile-like vomiting, Grunting, Red currant jelly stool Most common symptom above 1 yr. of age were having the symptoms of Severe bloating. Abdominal pain, Decreased appetite, Nausea, Vomiting, Abdominal swelling. The majority of the patients were having Intussusception, Hirschprung’s disease, Adhesions and bands, Obstructed inguinal hernia, Low anorectal malformation etc.