Introduction: A large volume of neurosurgical patients are referred from all over Gujarat to our department of Neurosurgery for the management and surgical intervention of patients of chronic subdural hematoma. Hence, the present study was undertaken to assess the pattern of presentation of patients of chronic subdural hematoma at civil hospital in Gujarat. Materials and Methods: Medical records of all the cases of subacute and chronic subdural hematoma are reviewed and relevant data such as age, sex, location of chronic subdural hematoma, size of lesion, clinical features, previous medical history were analysed over a period of 3 years. Results: Total number of males in study was 84 and of females was 56. Forty three percent of the patients referred a head trauma in the weeks or months before admission. The commonest antecedents were hypertension, type 2 diabetes, cardiomyopathy and anticoagulation medication intake. Patients presented with headache and instability in the majority of cases. Neurological defects included confusion, motor disturbance and depressed level of consciousness. 75% of the chronic subdural hematoma were able to produce midline shift of some degree and 25% there was no midline shift. Conclusion: The present study found that majority of patients (68.57%) patients were included in age group 50-60 years followed by 8.57% patients who belonged to age group 60-70 years and 12.85% patients were included in age group 70-80 years. 50% patients presented with headache followed by instability, dizziness, nausea, vomiting and seizures.