Background: In India, Cataract is the leading cause of avoidable blindness and cataract surgery forms the major workload of most ophthalmic units in the country. An estimated 4 million people become blind because of cataract every year, which is added to a backlog of 10 million operable cataracts in India, whereas only 5 million cataract surgeries are performed annually in the country. Thus, a technique of cataract surgery that is not only safe and effective but also economical and easy for the majority of ophthalmologists. It is estimated that about 25% of poor outcomes of cataract operations performed in developing countries annually are due to surgical complications. Minimizing intra-operative complications of cataract surgery is an important step towards eliminating visual impairment caused by such complications. Aim & Objective: 1. To study intra-operative complications of manual small incision cataract surgery. 2. To study the visual outcome in patients of intra-operative complications following its management. Methods: Prospective cross-sectional study, Study setting: Ophthalmology Department of tertiary care centre. Study duration: 2 years (October 2020 to December 2022). Study population: All patients with cataract requiring surgery admitted in tertiary care center. Sample size: 700. Results: Majority of study subjects belongs to age group 41 - 64 years contributing 511 cases (73%) followed by age group 65 years and more 133 cases (19%),16-40 age group 35 cases (5%) and 15 years or less 21 cases (3%) respectively. males contributing 390 cases (55.71%) followed by females 310 cases (44.29%). Male: Female ratio is 1.25: 1. preoperative visual acuity in operated eye is in the range of < 3 /60 - Perception to light (PLPR) in majority of subjects contributing 497 cases (71%) followed by 161 cases (23%) in between < 6/ 60 - 3 /60 group, 35 cases (5%) in < 6 /18 to 6 /60 group and 7 cases (1 %) in 6 /18 or better group respectively. Most common intraoperative complication was posterior capsular rent contributing 19 cases (2.71%) followed by iris prolapse 14 cases (2%), premature entry 10(1.43%), Descemet’s membrane stripping 10 (1.43%), intraoperative hyphaema 8 (1.14%), capsular extension in 7 cases (1%), Iridodialysis in 5 (0.71%) and zonular dialysis in 5(0.57%) respectively. Conclusions: Rate of complication was higher in hypermature type of cataract. There was no statistically significant association between age and intraoperative complications.