An Acute EDH develops between the dura mater and the inner table of the skull and is reported in 2.5% to 5% of head injuries. Usually occurs in young adults and is rare before age of 2 and after age 60. Although several recent reports have described successful conservative management of epidural hematoma, surgical evacuation constitutes definitive treatment of this condition. Other studies have also reported few cases of conservatively managed EDHs requiring surgical conversion as a result of deteriorating neurological status Aims and Objectives To study the outcomes of patients treated conservatively with initial presentation of Supratentorial Epidural Hematomas and to study the scope and pitfalls of such treatment for improving our future results Materials and Methods– Our study is a prospective analysis of patients treated by conservative method who had presented to us with supratentorial Epidural Hematoma from May 2018 till March 2019 in the Department of Neurosurgery, Calcutta National Medical College and Hospital (CNMC &H). Results– A Total of 85 patients were registered in this study. Male: Female ratio was 4.3:1.Average Age of the patients was found to 33.25 years. Most Common Mode of injury was found to be Motor Vehicular accidents which accounted for 68.25%.. The Most Common complaint at Presentation was Severe headache seen in 82.35%(70 patients). The Mean GCS at Admission was 14.2, at 1 week post admission was 14.9 and at 1 month Follow up was 15. The Average Thickness of Hematoma was 13.2mm ,volume was 18.4ml and the average midline shift was found to 3.1 mm at admission. The average Duration of Stay in Neurosurgical ICU was 3.2 days and average over all stay was 10.4 days. The Mean GCS on follow up was 15.. There were no Mortalities noted in the study Conclusion– Supratentorial Extradural Hematomas when carefully chosen can be managed conservatively which is significant considering it prevents the patient from the pain and morbidities associated with a neurosurgical procedure and leads to optimum utilization of operative resources.