Aim and Objectives: To compile the data of elective, emergency surgeries and procedures performed in the ENT department of Chacha Nehru Bal Chikitsalaya in the year 2017 and perform a surgical audit.

Type of study: Cross sectional.

Duration: Period of 1 year from 1^st January, 2017 to 31^st December, 2017.

Study setting: Department of otorhinolaryngology.

Inclusion criteria: All the patients who have undergone elective or emergency surgeries and all the clinical procedures performed in the out patient clinic with or without anesthesia. 

Method: All the data was compiled from the primary source of information the record register of the operation theater and the clinic of otorhinolaryngology and the HIMS (health information management system) of Chacha Nehru Bal Chikitsalaya for the period between 1^st January, 2017 to 31^st December, 2017.

Result: Total of 1,16,601 cases examined in the year 2017 in the department of ENT. 1,141 procedures performed in the out patient clinic with or without local anesthesia during the period of 1 year with a total number of 298 elective and emergency surgeriesprocedures performed. Syringing has been the most common procedure in the clinic .Adenoidectomy(17%) is the most common surgery performed followed by tonsillectomy(11%) and tongue tie release.(11%).The most common neck surgery performed is excision biopsy(9%) followed by tympanoplasty being the most common ear surgery(9%).

Conclusion: Pediatric otorhinolaryngology is a rapidly growing sub specialty. This surgical audit has helped us understand the variety of cases addressed in a pediatric ENT set up. This information also can be used to understand how to provide optimum health care facility epically catering to pediatric needs.