Objective: To determine the final anatomical success (Retinal attachment) after pneumatic retinopexy in patients having rhegmatogenous retinal detachment with superior breaks. Study Design: Quasi experimental study. Settings: Ophthalmology Department Allied Hospital (Faisalabad Medical University) Faisalabad Pakistan. Duration: Two years & 6 moths from January 2016 to June 2018. Methodology: This study was done on 78 diagnosed cases of rhegmatogenous retinal detachment with superior breaks. These cases underwent Pneumatic Retinopexy (PR) by injecting 0.5ml of SF6 in the vitreous cavity and Cryopexy to the break in the same setting followed by proper positioning. Final anatomical success (Retinal attachment) after pneumatic retinopexy in patients having rhegmatogenous retinal detachment with superior breaks was recorded in 69 patients (88.5%). Results: Pneumatic Retinopexy showed 88.5% success in selected cases of rhegmatogenous retinal detachment and 11.5% failure after this procedure. Conclusion: The post-operated anatomical and functional results were excellent so favoring this technique to be applied as primary procedure for repair of Rhegmatogenous retinal detachment (RRD).