Background:Acute intestinal obstruction occurs when the forward flow of intestinal contents is interrupted or impaired by a mechanical cause. It is most commonly induced by intra-abdominal adhesions, malignancy, and herniation. This study was conducted to evaluate the surgical management of intestinal obstruction at a tertiary hospital.Materials and Methods: This study comprised of 100 subjects having intestinal obstruction. Severe chronic abdominal discomfort, closed loop obstruction on CT, gangrene or imminent gangrene, and bowel perforation were the only acceptable criteria. The other patients who did not respond to conservative treatment were the respective indications for surgery. For four to six days, they underwent a trial of nasogastric decompression, no oral medication, parenteral fluids, and antibiotics. Surgery was typically done on these people if their condition did not improve. In patients who showed signs of partial obstruction without a transition point on CT, a gastrograffin follow-up examination was performed; if the obstruction did not clear, surgery was recommended. Results: In this study, 45 were males and 55 were females. Adhesiolysis was performed among 45 subjects, ileal resection and anastomosis was performed in 23 subjects, ileostomy was performed in 21 subjects, jejunal resection and anastomosis was done in 10 subjects and sigmoidectomy was performed in 1 subject only. Conclusion: The most common surgical procedure performed among subjects with intestinal obstruction was adhesiolysis.