Background: Perforation of the small bowl is a common abdominal surgical emergency faced by the general surgeon. Perforation of the small bowel from a wide variety of causes comprises one of the major entity among emergency surgical admissions. The perforated small bowl viscus challenges the surgeon’s knowledge of pre-operative, intraoperative and post operative care of severely ill surgical patient. Surgery plays on important role in the management of perforations. Hence thi s study is undertaken to find out the age, sex incidence, etiological factors, Clinical features for small bowel perforations and its complications in our set up. Materials and methods: A prospective study of 56 patients presenting to Adesh Hospital, Bathinda, with a clinical diagnosis of small bowel perforation. The clinical data, investigations done and the surgical procedure undertaken are recorded. Results: Small intestinal perforation is the commonest surgical emergency among all cases of acute abdomen. Male to Female ratio observed was 50:6. Most commonly affected age group is among 31 to 40 years. Majority of patients presented to causality after 24 hours. Among small bowel perforation, 32.1% were Duodenal, 55.3% Ileal and 18.6% jejunal. Overall mortality in small bowel perforation is 8.6%. Mortality rate in duodenal perforation (11.1%) being greater than ileal perforation (7.89%). Conclusion: We concluded that the small intestinal perforation is the commonest surgical emergency among all cases of acute abdomen. Incidence is more in economically productive age group, 2nd to 5th decade. Commonest complications in duodenal perforation were wound infection toxemia and uremia.