Introduction and aim - Following gastrointestinal surgery, there has been a tendency among surgeons to delay enteral feeding in order to allow the operated site more time to heal and to avoid complications like leaks, infections, and abscess formation but early enteral feeding is believed to diminish stress response, improve immunity and wound healing, and significantly lower the risk of sepsis. Thus the present study aimed to study the effect of early vs delayed enteral feeding in patients of perforation peritonitis. Material and method- This Prospective comparative study including 60 patients that were included only after approval from institutional thesis and ethical committee. All cases were randomly (pick a slip from bucket) divided into 2 groups. Group A (Early feeding group): patients were allowed orally within 48 hrs after surgery. Group B (Delayed feeding group): patients were allowed orally after appearance of bowel sound, passage of flatus/stool. All patients assessed daily with regards to- Nausea and vomiting, Abdominal distension determined by clinical examination. Result - The mean time for RT removal was significantly longer in delayed feeding group B individuals than in early feeding group A cases (93.60±18.21hr vs. 29.60±10.32hr, p 0.001). Mean time for passage of flatus was significantly shorter in group A as compared to group B (48±22.27 hr vs 78.40±32.10 hr, p 0.001).Mean drain output was 58.63±19.28 ml in group A and 79.83±22.09 ml in group B. This analysis was statistically significant (p 0.001). Serous content in drain was found in 90% of patients in each group while faecal content was only 10% in each group (p 0.545).The mean drain removal time was 4.89±2.30 days for group A and 8.22±3.14 days for group B, which was statistically significant (p 0.001). Conclusion – Over all complicationrate was morein case swith delayed feeding group B.