Background: Depressed skull bone fractures constitute a common condition following head trauma. A skull fracture is considered depressed when a portion of the outer table lies below anatomical position of inner table. The outcome of the patient with depressed fracture depends on multiple factors. Objective: To assess outcomes in surgically managed patients with depressed skull fractures and associated head injuries. Materials and Methods: This study was conducted from January 2024 to March 2024, in Department of Neurosurgery G.G.Hospital, Jamnagar. A total of 30 patients of all age groups with clinically palpable depressed skull bone fracture, treated surgically were included in this study. Details regarding the causes, duration and clinical conditions were documented. Ct scans were done in all cases. After surgery patients were followed up at 1, 2 and 3 months. Clinical examination of the wound for sepsis, CSF leak, check up CT scan and neurological assessment of patients was done on every visit. Outcome was assessed by Glassgow coma scale. Results: Factors associated with outcome were duration of injury, mode of injury, glassgow coma scale and associate brain injuries. Conclusion: Depressed skull bone fractures is common neurosurgical issue. Timely surgical management gives excellent results by decreasing morbidity and mortality. Most of the causes can be prevented by taking some safety measures.