Objective: Aim of this study is to assess the pattern, case work load, and variety of pediatric surgical conditions managed, various paediatric surgical operative procedures performed and outcome of the same. Methods: Analysis was done retrospectively of the paediatric surgical services provided by the department at a tertiary care hospital in central India. Data was collected by compiling computerized, hand written case files and hospital ward records over a 9–year period from 2011 to 2019. Total 2996 children with surgical disorders were evaluated and studied. There were 1887male and 1109 female children, with 131 infants & 42 neonates. Results: Majority of the patients were operated (59.51%), while 40.48% were managed conservatively. Gastrointestinal surgeries contributed maximum patient workload (37%). Major procedures accounted for 929 (52.10) while minor procedures were done in 854 (47.89%). Elective operations were done in 72%, while Emergency surgeries were done in 27% of the patients. Circumcision, Appendectomy, Herniotomies, Hypospadias and drainage of abscess were the commonest surgeries performed overall. Surgical wound infection was the commonest complication observed (7.5%) while overall mortality was 0.8% in our study. Conclusions: This study covers the work spectrum done by paediatric surgery department in a tertiary care hospital in central India. Provision of adequate resources, training manpower, development of health infrastructure and dedicated department establishment along with willpower and administrative support ensure improved patient care in children requiring surgical intervention