Background: The common Surgical emergencies encountered in India and worldwide are Perforation of viscus, Peritonitis, Bowel obstruction, Ischaemia of the Bowel, Acute appendicitis and Renal caliculi and Urinary obstruction. At least 62% of surgical operations performed are for emergencies. There is little information regarding the clinical spectrum and outcome of emergency abdominal operations for, specialized units in India. The major causes of abdominal emergencies vary from region to region and even with in the same region socioeconomic, cultural geographical factors may affect the pattern. Aim of the Study: To know the pattern of surgical emergencies in teaching hospital. Materials and Methods: We have conducted this study for 9 months in the department of General Surgery, Gouri Devi Institute of Medical Sciences & Hospital, Durgapur, West Bengal, India. Results: We have conducted this study in 170 total number of patients. Out of these 170, males are 82, females are 56 and children are 32. 29 patients died because of various reasons. Conclusion: Surgical emergencies are very common in India and worldwide, in rural past of India the mortality is very high. Early diagnosis and early intervention can reduce the mortality and morbidity.