Tuberculosis is an important cause of morbidity in a developing country like India, as such as worldwide distribution despite of the fact that the causative organism was discovered more than a century ago and highly effective vaccines and drugs are available making it a preventable and curable diseases. The problem that tuberculosis is a rare disease may leads to missed diagnosis and delay in start of treatment. It kills about two million people each year worldwide and it continues to be major public health problems in the developing countries. It also has so much socio economic and health significance. Rising HIV infection with emergence of multidrug resistance strains of tuberculosis pose additional threats so the incident and severity of abdominal tuberculoses is expected to rise with increasing incidents of HIV infections. Among the extrapulmonary forms of this disease abdominal tuberculosis continue to be a major problem in the developing countries. It is one the disease with symptomatology and physical signs are non specific and majority of patients present late and with complications. Any portions of the gastrointestinal tract (GIT) may be affected by swallowing the infected sputum with direct seedling, hematogenous spread or ingestion of milk infected with this disease. Terminal ileum and caecum are the most common sites involved and it is the sixth most frequent form of extra-pulmonary site after lymphatic, genitourinary, bone and joint, miliary and meningeal tuberculosis. It involves small intestines with single or multiple areas of strictures or indurated mass in the wall of the gut which leads to some degree of intestinal obstruction. The area proximal to it becomes hypertrophied and dilated which leads to perforation of guts and generalised peritonitis. So, non specific abdominal pain, fever and ascites should raise the doubt of tubercular peritonitis. The treatment of the abdominal tuberculosis is medical with antitubercular drugs, surgery is reserved for complications like acute intestinal obstruction, perforation and peritonitis. This study was conducted in the Department of Surgery at District Hospital Rajouri (J&K) India, from June 2014 to November 2018, to evaluate various patterns of surgical emergencies of tuberculosis abdomen, their clinical presentation and management thereafter.