Malignant Gastric out Let obstruction- GOO is most common presentation of a Advanced Carcinoma of stomach in males. On review of 20 patients of advanced Malignant GOO in males, 10 male patients were treated with Palliative Gastrectomies; other 10 male patients were treated with Anterior Gastrojejunostomy & Jejuno jenostomies, followed with Chemotherapy of 5 FU, 750 mgs IV infusion for 3 days for 6 months. Survival rate & Quality of Life were the same in both groups around 2 yrs. The study has been done in a few hospitals where I worked, Government Royapettah Hospital from September 1982 to May 1987, Coimbatore Medical college Hospital from June 1987 to April 1991, Government Head quarters Hospital, Erode from September 1991 to December 2000, Perundurai Medical College Hospital, Perundurai from November 2002 to July 2004.