AIM: To evaluate the management of intussusception in view of COVID 19 pandemic. Intussusception is one of the most frequent causes of acute bowel obstruction in infants and toddlers and probably the second most common cause of acute abdominal pain in infants and preschool children after constipation. METHODS: We retrospectively reviewed all the patients in our Department admitted between July 2018 to June 2022 who were diagnosed with intussusception and were managed either conservatively or surgically intervened depending upon the clinical condition. RESULTS: 52 children with intussusception were treated . All the patients had intussusception ( detected on Abdominal ultrasound ) treated initially conservatively with NPO status, intravenous fluids, nasogastric tube insertion for gut rest and parenteral antibiotics initially and symptoms subsided for 14 out of 52 patients. Pre operative imaging included second confirmatory USG Whole Abdomen in all cases. Thirty five of them underwent open laparotomy of which 3 underwent spontaneous reduction, 17 underwent manual reduction, 8 underwent resection of gangrenous bowel with primary anastomosis and 7 underwent resection of bowel and stoma creation which were closed in 6 months post operatively. Three of them underwent laparoscopic reduction of intussusception. Nasogastric tubes were removed on post operative day-5 after the patient passed stool. Prebiotics probiotics were started after NG tube removal followed by feed from next day. One patient who had resection of gangrenous bowel with primary anastomosis developed an anastomotic leak on POD 7 and underwent re-laparotomy with divided stoma creation. Three patients with poor general condition, delayed presentation and profound bowel gangrene with severe peritonitis expired. Follow up was done for all the discharged patients, all of whom were symptom free and suffered no recurrence. CONCLUSION: Incidence of intussusception significantly increased in the post COVID 19 era. This is probably due to the poor immunity status of the children due to silent COVID 19 infections.