Aims: The aim of present study was to investigate the gender difference in preoperative anxiety before general surgery and caesarean section. Materials and Methods: This cross sectional, observational study consisted of 82 patients admitted to surgical ward for any planned operative procedure under general anaesthesia. Consenting patients were asked for socio demographic information and Hospital Anxiety and Depression Scale (HADS) and The Amsterdam Preoperative Anxiety and Information Scale were applied on them. Results: A total of 84 patients out of which 47 patients (30 males and 17 females) with mean age of 36.63 ±.8.99 years. There was significant high anxiety for Females in HADS Anxiety scores (12.46 ± 3.54vs 10.13 ± 1.96; t = –3.876, p= .000) but there was no significant gender difference in Total mean HADS depression  and Total mean APAIS scores. Conclusions: As a gender group of female patients exihibits significantly higher pre operative anxiety compared to males.