Introduction: Buerger’s disease occurs almost exclusively in smokers who are males usually between 20 and 50 years of age. The typical patient is one who is a heavy smoker and had started smoking at an early age. Following is the spectrum of presentation of disease. Methodology: The treatment of each patient was individualized with the aim to achieve foot salvage wherever feasible. A record of patient’s progress and response to various modalities of treatment was mode to evaluate severity of disease, in long term prognosis and also evaluate the efficacy of treatment. Results: Ulceration was seen in 9 patients (18%). 11 patients (45.83%) out of total 24 patients with gangrene had a definite line of demarcation and 13 patients (54.17%) did not have definite line of demarcation. Conclusion: All the cases were diagnosed with Shionoya criteria, Lower limb medium to small caliber vessels were commonly involved in Buerger’s disease.