Background: Perforation Peritonitis is one of the common and Life Threatening Surgical Emergency all over the world. The outcomes in India and in our region i.e., Udaipur, Rajasthan are no exception to it. The most common etiology in our region is perforation of diseased Viscera, which is different from western world [2, 5]. The present study was carried out to evaluate the etiology, pathology, site of perforation, and surgical management, post operative complications and mortality.