Background: The purpose of the study is to study the clinical profile of the patient with perforative peritonitis, to determine whether only simple closure of perforation still an effective measure for the treatment of peptic ulcer perforation, follow the post operative patient for recurrence of acid peptic disease symptoms among them how many requiring definitive treatment, to study the morbidity and mortality of the patient with perforative peritonitis. Methods: The study was carried out in patients of Krishna Hospital And Medical Research Centre, Karad in period of May 2007 to May 2009. We evaluated 71 patients, out of which 67 patients were treated surgically. Results: In our study, 8 out of 71 patient expired. Post operative mortality was 11% which includes 3 patients with peptic perforation, 3 of small bowel perforation, 1 of colonic perforation and 1 patient of hollow viscus perforation of unknown cause who was not operated due to critical general condition since admission. Conclusion: Peptic perforation dominated the incidence with 62% of cases while traumatic perforation with 17% of cases. Simple closure of perforation was found to be still adequate treatment for peptic perforation