Objective: To find out and understand the common causes of neonatal deaths using verbal autopsy as a tool. Method: Open ended verbal autopsy Questioner Method applied to a cross section of 47 neonatal deaths that occurred in previous 6 months (Nov. 05 __ampersandsignndash; April 06). Study was carried out on purposively selected villages of four talukas of Vadodara district of Gujarat in India, during May 2006 to August 2006. Results: Out of 47 were neonatal deaths 36.2% died due to prematurity, 21.3% due to Birth Asphyxia and 10.6% of deaths were due to Septicemia. Deaths on the first day were 42.6%; of whom 40% died due to birth asphyxia and 45% due to prematurity. Conclusion: Using verbal autopsy tools, Common causes of neonatal deaths found, were prematurity, birth__ampersandsignnbsp;asphyxia and sepsis. More number of deaths occurred during first day of life.