Aim: To determine the visual outcome and complications of Neodynium : Yttrium Aluminium Garnet laser posterior capsulotomy in pseudophakic patients with visually significant posterior capsular opacification using the spiral method of capsulotomy. Material and Methods: Neodynium : Yttrium Aluminium Garnet laser posterior capsulotomy was done in a spiral fashion in 50 eyes of 50 patients with visually significant posterior capsular opacification. The visual outcome and complications were documented 1week, 4 weeks and 12 weeks after the procedure. Observations: 94% patients had good visual recovery (best corrected visual acuity __ampersandsigngt;/=6/12) 12 weeks post laser. The complicationsobserved were intraocular lens pitting in 6 eyes but was not significant to reduce vision. Intraocular pressure spike greater than 5 mm Hg was seen in 3 eyes 1 hour post laser but was controlled with anti -glaucoma medication. Cystoid macular edema was seen in 2 eyes, 8 and 10 weeks after laser. Conclusion Neodynium : Yttrium Aluminium Garnet laser posterior capsulotomy with the spiral method is effective in cutting the posterior capsule with good visual results and low rate of complications in our Institute.