Background: The most frequent cause of acute abdominal pain that necessitates surgical intervention is still acute appendicitis, which is also the most frequent general surgical emergency encountered in the majority of hospitals. The present study was conducted to assess outcome of perforated appendicitis. Materials & Methods: 58 patients with perforated appendix of both genderswere treated surgically. Parameters such as symptoms, mean duration of the hospital stay, surgical site infection, early complication and late complications were recorded. Results: Out of 58 patients, 32 were males and 26 were females. Symptoms were fever in 31, vomiting in 45, pain in abdomenin 58, loose stools in 6, distension of abdomen in 4 patients. Duration of hospital stay 3-5 days in 7, 5-10 days in 25 and >10 days in 26. Surgery performed was appendicectomy in 50, right hemicolectomy in 5 and tube cecostomy in 3. Early complications were surgical site infection in 4, wound dehiscence in 1, intestinal obstruction in 2, faecal fistula in 3 and death in 1. Late complications were intestinal obstruction in 2, intra-abdominal abscess in 1 and incisional hernia in 1 patient. The difference was significant (P< 0.05).Alvarado score 4-5 was seen in 4, 6-7 in 24 and 8-9 in 30 patients. The difference was significant (P< 0.05). Conclusion: A significant contributing element to appendicular perforation and its unfavorable consequences was the prehospital delay. Patients who presented late and had symptoms of generalized peritonitis and an appendix base perforation had a greater rate of morbidity and a longer hospital stay.