Background and Objectives: This was an observational prospective study to predict the accuracy of PESAS score in detecting theoutcome of emergency abdominal surgeries. Materials and Methods: This study consisted of 80 selected patients admitted with features suggestive of Acute Abdomen in Krishna hospital, Karad from January 2021 to June 2022(18 Months).All the patients were graded based on the PESAS scoring system. The collected data was coded and put into a Microsoft Excel Worksheet. The statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) version 21 for Windows. Data were expressed as frequency and proportions were reported for categorical variables. The p-value < 0.05 was considered statistically significant using Chi- square test. The test were two tailed and 95% confidence interval and an alpha level of 5% and a probability value of <0.050 was considered as statistically significant.