Aim: A study of etiology and management of intestinal obstruction at sharda hospital. Material and methods: The materials for the study of intestinal obstruction was collected from cases admitted in Sharda Hospital, during period from December 2020 to July 2022. 60 cases of intestinal obstruction were studied. Patient above 18 years was taken. The criteria for selection of cases were based on clinical history, physical findings, radiological and haematological investigations. Result: Several intra-op findings are noted, of which the most common was found to be bands (26.67%), followed by adhesions (25%). X-ray is useful in diagnosing the level of lesion in intestinal obstruction, based on the number of dilated loops, the dimensions and location of the dilated bowel loops. In our study, we found the most common site of obstruction to be small intestine, with jejunum being the most common site. (26.67%). Ascitic fluid can be seen in cases of intestinal obstruction, with variable aetiological factors in place. In our study, we found that a little of 1/3rd of our patients had ascites (38.33%). Presence of a hernia, especially irreducible or strangulated, can be a good indicator on underlying intestinal obstruction. Conclusion: The incidence is lower compared to similar studies, mostly due to improving socio-economic status of people and better accessibility to health care in this region.