Background: One of the most frequent types of intra-cranial hematomas is chronic subdural hematoma. The present study was conducted to compare use of drain versus no drain in chronic subdural hematoma. Materials & Methods: 46 chronic subdural hematoma cases of both genders were divided into 2 groups of 23 each. Group I was with drain patients who were treated by burr-hole craniostomy with closed-system drainage, and group II were without drain patients who were treated with burr-hole craniostomy without closed-system drainage. Pre- and post-operative CT scans was used for radiological evaluation. Complaints, co-morbidities, operative characteristics, recurrences and complications etc. was recorded. Results: Group I had 13 males and 10 females and group II had 12 males and 11 females. Subdural fluid pressure was low in 3 and 4, medium in 15 and 13 and high in 5 and 6. Colour of subdural fluid was straw in 5 and 7, clear in 6 and 8 and mixture in 12 and 8. Brain expression was readily in 16 and 15, partial in 4 and 2 and none in 3 and 6 in group I and II respectively. The difference was significant (P< 0.05). Complaints were hemiparesis in 6 and 7, headache in 12 and 8, dementia in 11 and 10, vomiting in 8 and 16, seizures in 9 and 13 and diplopia in 2 and 4. Co-morbidities were alcohol abuse in 3 and 4, brain atrophy was seen in 1 and 2, CAD in 2 and 5, diabetes in 2 and 3, hypertension in 3 and 4, recurrence in 1 and 3. Complications were ICH in 1 and 2, seizures in 2 and 1 and residual hemeperesis in 1 and 3 in group I and II respectively. Conclusion: If a subdural drain is placed following burr-hole drainage for chronic subdural hematoma compared to those who do not, the recurrence rate of chronic subdural hematoma is noticeably reduced. A subdural drain should always be inserted after burr-hole drainage since it lowers the recurrence rate in chronic subdural hematomawithout significantly increasing complications. Key words: subdural drain, chronic subdural hematoma, seizures.