Peptic ulcer disease and its complications remains a common problem encountered by surgeons all over, despite all the progress made in the diagnosis and treatment both medically and surgically for this condition. Among these, duodenal ulcer is definitely more prevalent than gastric ulcer. The study period was 22 months including follow up, comprising of 55 patients, who are satisfying inclusion criteria admitted in Tertiary care centre. It is a prospective, descriptive study. In our study males are affected more commonly than females, with 20-30years being the most common age group. Duodenal ulcer perforation predominates over gastric ulcer perforation with benign condition being the most common cause behind perforation, and patients diagnosed clinically and radiologically and treated surgically(Graham’s/modified Graham’s omental patch repair). Earlier the presentation better is the prognosis and also probability of early discharge and lower medical co-morbidities.