Tetanus is an acute disease caused by the exotoxin of Clostridium tetani. The incidence has decreased even in developing countries in recent years due to an effective vaccination program ,however, cases do occur in children of migrant workers and those living in remote areas who may have missed their childhood vaccines. Post–partum or neonatal tetanus is literally not seen nowadays in our country due to the efficient immunization of pregnant women.Adults, especially agriculture workers, are at high risk. The clinical profile of 48 cases of tetanus admitted over 3 years in GMC Aurangabad is presented in this study.