The prime goal of every surgeon is his patient’s uneventful recovery. To ensure that goal, it is very important to identify patients who are likely to develop complications, and to treat them promptly. Many scores such as the APACHE–II and POSSUM scores have been developed to predict surgical outcomes, but they require acquisition of clinical and laboratory data that’s both tedious and expensive. The Surgical APGAR score includes three simple intra–operative parameters to predict the risk of post–operative morbidity for the patient. Such a score can be readily adopted in hospitals where sophisticated equipment may not be available. The aim of this prospective study was to evaluate the efficacy of this score in predicting outcomes in 100 patients undergoing laparotomy for various indications at our hospital.