Introduction: Strabismus is characterized by misalignment of eyes where visual axes deviate from bifoveal fixation.Esotropia as a subtype of strabismus is defined as inward turning of one or both eyes. Aims and objectives: Outcome in the form of Ocular Alignment and Extraocular Movements after Recession of Medial Rectus and Resection of Lateral Rectus in one eye in cases of Esotropia. Material and methods: The present study was conducted on 50 patients with Esotropia visiting Ophthalmology department in Government Medical College, Amritsar. All patients underwent surgical procedure i.e. Medial Rectus Recession (Maximum up to 6 mm) and Lateral Rectus Resection (Maximum up to 10 mm) of one eye. Surgery was done based on Prism Cover Measurement obtained at 6 mts with appropriate optical correction in place. Patients were evaluated at day 1, day14 and at 6 week post operatively. Final Outcome was considered at the end of 6 weeks at which achievement of < 10 prism diopters of esotropia was the success. Results: We obtained success (< 10 prism diopters) in 42 out of 50 patients (84%). Out of 42, in 27 cases of the age group 5-10 yrs, , success(< 10 prism diopters) was there even if deviation was up to 80 prism diopters in some cases and in 15 cases of the age group 10-15 yrs , success was there ,where deviation was up to 50 prism diopters. In remaining 8 cases of the age group 16-25 yrs, success could not be achieved. (>=10 prism diopters). Conclusion: We conclude that along with the Preoperative Deviation, age is also an important criterion for favourable surgical outcome. Younger the age, better is the surgical outcome.