Introduction: Small bowel perforation, particularly terminal ileum, is one of the most common abdominal emergencies that a general surgeon will encounter. Small bowel perforation from a variety of causes accounts for the majority of emergency surgery admissions. Aims and objectives: To study the various causes of small bowel perforations. To study the various surgical procedures & its outcome. Materials and methods: A prospective study of 50 patients admitted to Government General hospital, Mahabubabad with a diagnosis of Small Bowel perforation during the period of June 2022 to January 2024 was included under the study. Observations: The present study is based on the analysis of 50 cases of Small bowel perforation admitted to Government General hospital, Mahabubabad between of June 2022 to January 2024. Discussion: This study, which conducted, was cross-computed with other studies of similar nature. 50 small intestine perforation cases were included in this study. Conclusion: A detailed clinical history was taken for all these patients with an emphasis on the presenting complaints. Majority of cases had guarding and rigidity at presentation.