<p> Cataract is a leading cause of blindness worldwide. Uttarakhand is a state with poor access to medical facility. In resource limited setting SICS is an acceptable option for cataract treatment. Prospective study carried out at BD Pandey hospital, Pithoragarh, from September2014 to august2015, to assess Pre and post operative visual outcomes. A total of 1038 cataract patient underwent SICS, male were more (61%), and more right eye operated (58%).Nearly half (48%) patients were >60 years of age, hypermature cataract was present in 53% patients Diabetes was seen in 84 patients (8.09%), and hypertension in 11 5 patients (11.07%). Retained cortical matter was the commonest post operative complication (5%).Visual acuity improved in most of the patients post operatively Conclusion: SICS is cost effective technique with good outcome, even with systemic co-morbid conditions. It may be instrumental for remote hilly area where access to medical facility is sparse.</p>