Background: Congenital cataract usually present as a whitish reflex called leukocoria in eye. It requires early detection and treatment to prevent permanent visual impairment from amblyopia and aim of this study is to determine outcomes of congenital cataract surgery in a tertiary care hospital.A total of 192 eyes of 120 patients of age group 3-8 years with visually significant congenital cataract (≥3 mm in diameter) underwent cataract surgery with posterior chamber foldable intraocular lens implantation were enrolled in this interventional study. Posterior capsuletomy with anterior vitrectomy was performed in all cases. The span of study was 01 year duration. The minimum follow up of patients was 6 months. In follow-up period post-operative treatment, management of surgical complications, amblyopia therapy and assessment of visual acuity was done. Final outcome of congenital cataract surgery in terms of improvement in visual acuity was assessed at the end of 6th month. The study was performed at GMC, Dungarpur. At the end of study 51% of patients achieved good vision and the better visual outcome is significantly higher in younger age groups. Fibrinous reaction was the most common complication occurred in this study. This study concludes that timing of the congenital cataract surgery is the most important factor for visual prognosis.