Introduction: Head trauma is a significant cause of morbidity and mortality worldwide, particularly in adults.Objective: The main objective of the study is to find the role of repeated CT scan brain for adult patients with head trauma who are being managed conservatively. Methods: This prospective observational study was conducted atMaheshwara Medical College & Hospital.The study involving a data of 185 patients. The study included adult patients aged 18 years and above who presented with head trauma and were managed conservatively.Clinical data were collected at the time of admission, including demographic information, mechanism of injury, Glasgow Coma Scale (GCS) score, and initial CT scan findings.Repeated CT scans were performed at predetermined intervals: within 24 hours, 48-72 hours, and as clinically indicated thereafter. Results: The study involved 185 patients with a mean age of 45.89±2.35 years, comprising 110 males (59%) and 75 females (41%). The mechanisms of injury included falls (40%), motor vehicle accidents (35%), and assaults (25%). The mean Glasgow Coma Scale (GCS) score was 12.3, ranging from 9 to 15. Initial CT findings revealed that 32.4% of patients had subdural hematomas, 24.3% had cerebral contusions, and 43.2% exhibited brain edema. Patients with subdural hematomas had a mean length of stay of 15.09 ± 4.12 days (p < 0.01). Those with cerebral contusions had a mean stay of 13.23 ± 3.00 days (p < 0.05). Patients with brain edema had a mean length of stay of 14.89 ± 5.71 days (p < 0.01). In contrast, patients with no significant findings on their initial CT scan had a shorter mean hospital stay of 10.09 ± 2.11 days (p < 0.05). Conclusion: Repeated CT scans are essential in the conservative management of adult head trauma patients, enabling early detection of new or worsening intracranial conditions. They guide timely surgical interventions, improving patient outcomes.