The Incidence of duodenal ulcer perforation is decreasing in many parts of the world [1]. However in tropical countries it still is a leading cause of abdominal sepsis. Since 1950, the number of patients with ulcer disease has decreased all over the world. The number of perforated ulcers, on the other hand, has changed very little, and the death rate from perforated duodenal ulcers in older patients has increased, particularly in those that were older than 65 years [2].The present study is an endeavour to document various trends viz. demography, mortality and associated factors, morbidity, average hospital stay and associated co-morbid diseases observed in a tertiary hospital in south Rajasthan.