Perianal abscess is a common acute disease in the field of colorectal surgery. The present study was conducted to assess cases of perianal abscess. Materials & Methods:60 patients of perianal abscess of both genders underwent computed tomography scan (CT) or magnetic resonance imaging (MRI). Surgical procedure was performed in all patients and tissue and fluid culture were sent at the time of surgery for analysis. Results: Out of 60 patients, males were 35 and females were 25. Common symptoms observed were pain in 38, peri anal discharge in 42 and faecal incontinence in 15 cases. Associatedcomorbidity such as hypothyroidism was seen in 7, hypertension in 10 and peripheral arterial disease in 4 patients. Surgical procedure performed were laparotomy in 34, laparoscopic assisted procedures in 12, ileostomy in 5 and colostomy in 9 patients. The difference was significant (P< 0.05). Conclusion: Perianal sepsis were managed with laparoscopic assisted procedures, laparotomy, ileostomy and colostomy. Maximum cases were seen in males