Aim:To investigate the indications and outcomes of surgical intervention for local complications arising from acute pancreatitis. Material and methods: This prospective observational research was undertaken at the Department of General Surgery, with the permission of the protocol review committee and institutional ethics committee. The study's inclusion criteria were individuals who received laparoscopic, retroperitoneal, or open surgical treatments to address the local complications of acute pancreatitis. Results:Out of the total, 50 individuals had local problems as a result of acute pancreatitis. The step-up method was used to handle all patients, beginning with conservative therapy and implementing minimally invasive intervention when necessary. Twenty individuals need surgical surgery as a result of the ineffectiveness of endoscopic or radiological intervention, or owing to the inaccessibility of lesions to these procedures. Conclusion:Several endoscopic procedures are now accessible for the treatment of pancreatic fluid accumulation and pancreatic necrosis. However, surgery continues to be a crucial approach in controlling the condition.