Perforation in the ileum is a common surgical emergency noted in the Indian subcontinent. The most common etiology is salmonella infection. In western countries, the most common etiology is neoplastic, traumatic, and mechanical in the decreasing order of incidence. Aim & Objective:1. A clinical study of surgical management and outcome of ileal perforation. 2. To study the risk factors of ileal perforation and complication. Methods: Study design: Prospective study. Study setting: Department of surgery of tertiary care center. Study population: A total of 100 patients with a confirmed diagnosis of ileal perforation. Sample size: 100. Results: Hundred patients of Ileal Perforation admitted in our institute were included in this study. Patients have been grouped into etiological categories, namely, typhoid, non-specific, trauma and miscellaneous. Conclusions: Etiology, presentation, management and outcome of patients with ileal perforations were studied with emphasis on typhoid, non-specific, TB, round worms, meckels, stab injury and traumatic perforations and the factors that influenced the prognosis