Global health concerns include peptic ulcer disease (PUD). Recent findings indicate a global decline in peptic ulcer disease. Peptic ulcer perforation remains a severe health concern despite all of this. The pattern of perforated PUD varies by location due to sociodemographic and maybe environmental factors. Perforated PUD is seen in young males in poor nations like ours. In comparison, perforated PUD patients in industrialised nations are mostly older and have smaller gender inequalities. Due to the close association between drinking and smoking among young males, emerging nations have high rates. Despite the high number of cases in our area, perforated peptic ulcer disease is rare. We aim to provide our hospital's experience with perforated PUDs, including incidence, clinical presentations, treatment results, and morbidity and mortality.