Introduction: Valvular heart disease remains common cardiovascular problem worldwide. The etiology of valvular heart disease differs as per the socio-economic factors. In industrialized countries, the most common etiology seems to be the degenerative valvular dysfunction. On the other hand, in third-world countries like Pakistan, rheumatic heart disease (RHD) is a common cause of valvular heart disease. Aims/ Objective: To determine postoperative outcomes of valvular cardiac surgery and find any association of clinical predictors with the surgical outcome. Methodology: This retrospective observational study was carried out at Peshawar institute of cardiology. We included all patients who underwent valvular surgeries from January 2022 to September 2022. Ethical approval was taken from hospital ethical review committee. Data was extracted from electronic medical record (EMR) and analyzed in SPSS version 22.0 Results: Mean age of patients for valvular surgery was (38.74±13.942), mean Body mass index (23.403±4.5330) and mean bypass time (155.80±53.626). 34% patients with mitral valve abnormalities and 24% aortic valve abnormalities.27% patients with the history of hypertension and 10.7% with Diabetic mellitus. Post-operative outcomes are significantly correlated with age, post-operative rhythm, heart rate and potassium level (r=-.170*,-.317**, .226** and .237** p