Background: When Walther Kausch utilised a rubber tube to drain the lateral ventricle into the peritoneal cavity in 1908, he pioneered the ventriculoperitoneal (VP) shunt as a treatment for hydrocephalus. In a tertiary neurosurgery centre, 14% of cases included the placement of shunts for hydrocephalus. Shunt-related issues place a major strain on the healthcare system. Aim: To evaluate the risks associated with ventriculoperitoneal shunting. Materials and methods: 100 Patients of both sexes who have previously had treatment for ventriculoperitoneal shunt (VPS). After admission, all patients had a thorough clinical evaluation that included a thorough history and examination, as well as a neurological examination. Each patient received a Chhabra "slit n spring" hydrocephalus shunt. comprehensive blood count (CBC), erythrocyte sedimentation rate (ESR), comprehensive urine analysis, X-ray chest, and head NCCT scan or MRI scan were all performed on all patients. Results: Most of the patients were belong to 10 -20 years (28%) followed by 1-10 years (16%),30-40 years(14%), below 1 years(12%),40-50 years(10%) and above 50 years (9%). Most common etiology was aqueductal stenosis seen in 22 patients followed by CPA mass in 16 patients, congenital in 13, postcraniectomy in 11, posterior fossa mass in 10, Dandy– Walker in 9, suprasellar mass in 8, postcraniectomy in 6, ventricular massin 4 and Supratentorial mass in 3 patients. Conclusion: We found that the most occurrences occurred between the ages of 10-20 years, along with the most issues associated with the aetiology of aqueductal stenosis.