AIM: The aim of the present study was to evaluate the patient and to assess the severity of Buerger’s disease. MATERIAL & METHODS: A Randomized control trial includes Forty patients in the age group of 20-50 years who were smokers, presenting with symptoms of ischemia in limbs and were admitted in Gandhi Medical College and Hospital were taken up for study for the period of 27 months The treatment of each patient was individualized with the aim to achieve limb salvage wherever feasible. A record of patient’s progress and response to various modalities of treatment was made to evaluate severity of disease, in long term prognosis and also evaluate the efficacy of treatment. Patients who returned for follow up were followed up for minimum of six months during each follow up detailed history was taken and progress of the disease was assessed