Background:Typhoid fever is a bacterial infection caused by Salmonella typhi bacteria. Intestinal perforation is a rare but serious complication of typhoid fever.The present study was conducted to assess surgical management of intestinal perforation of typhoid. Materials & Methods:75 cases of intestinal perforation of typhoid of both genderswere categorized into three management groups according to their APACHE II scores. Group I was with APACHE <10, group II with 11-120 and group III with >21. Results: In group I, males were 13 and females were 12. In group II, males were 11 and females were 14 and in group III males were 15 and females were 10. Fever was seen in 11, 16 and 12 patients in group I, II and III respectively. The mean hospital stay was 7.4 days, 8.7 days and 14.1 days, ICU care was needed in 0, 9 and 17 patients and mortality was seen in 0, 5 and 10 patients sin group I, II and III respectively. The difference was significant (P< 0.05). Common side effects were wound infection in 3, 20 and 25, septicemia in 0, 5 and 12, and wound dehiscence in 0, 13 and 17 cases respectively. The difference was significant (P< 0.05). Conclusion: Common side effects seen were wound infection, septicemia and wound dehiscence especially in patients with APACHE >21 in intestinal perforation cases.