BACKGROUND AND OBJECTIVES: The heart failure is major burden to the society and leads to a heavy toll in morbidity, mortality and health care costs. With increasing incidence of cardiovascular disease, India is witnessing a simultaneous surge in incidence of heart failure, including among relatively younger men and women who were earlier considered out of the risk bracket of this condition. This study is an attempt to evaluate clinical profile of heart failure in patients admitted to Sir Takhtasinhji General Hospital, Bhavnagar. METHOD: This study was done on 100 patients admitted in Sir T. General Hospital, Bhavnagar with clinical evidence of heart failure. RESULTS: Male gender (55%) had higher incidence of heart failure as compared to female (45%) with mean age of 47.43± 14.69 years. Breathlessness was most common presenting symptom and bilateral basal crepitation was most common sign. IHD was most common cause of heart failure followed by VHD. Lack of compliance was most common precipitating factor whereas HTN was most common co morbidity. CONCLUSION: Incidence of heart failure is more common in the middle age group patients i.e., in age group of 40 to 50 years 29%. IHD is most common cause of heart failure. HFrEF was found in (57%) of patients and HFpEF was found in (43%) of patients. The mortality in the present study was (7%) and survival was (93%).