Introduction: The essential point of any surgery is to cause a decrease in grimness and death rates. Aim: This examination was embraced to evaluate the legitimacy of P-POSSUM scoring framework in patients going through significant medical procedures in our arrangement and, to attempt to dissect the reasons for low result in this high hazard groups is by looking at the effect on the unfriendly result. Methods: A total of 218 major surgical operations were studied in patients admitted in the general surgery department of Krishna Hospital, Karad. Results: A study group consisted of 76 elective, 112 emergency and 30 immediate cases. Duodenal perforation (37), Laparotomy is accounted for 175 cases, Resection anastomosis accounted for 27 cases, Amputation accounted for 12 cases, Cholecystectomy with choledochotomy accounted for 2 cases and Embolectomy accounted for 2 cases. 17 patients died among 112 emergency surgeries except for malignancy, Wound infection (56 cases, 25.92%), accounted for the majority of complications. Conclusion: This study subsequently approves P-POSSUM as a legitimate method for surveying ampleness of care given to the patient. P-POSSUM can be utilized for careful review to survey and improve the nature of careful consideration and result in better result to the patient.