Background: Pancreatic Pseudocyst occurs as complication of acute or chronic pancreatitis and pancreatic trauma. Diagnosis is most often by cross-sectional imaging. Currently, principle forms of active therapy are percutaneous drainage, endoscopic drainage and surgical interventions Methods: We performed a unicentric, retrospective and prospective observational study of 40 patients with pancreatic pseudocyst from June 2017 to Nov 2018 at a tertiary level hospital. Results: Male population of age group 31-50 years was the common. Alcoholic Pancreatitis (77.5%) was the leading etiology. Abdominal pain (85%) and lump in abdomen (15%) were common symtoms. 47.5% patients were operated, 52.5% managed conservatively. 88.9% pseudocysts resolved completely, 5.6% did not resolve while a 5.5% recurred after treatment. Conclusions: Persistent symptoms and the development of complications warrant invasive intervention. Endoscopic approach has gained popularity with surgery reserved for patients who had failed endoscopic or percutaneous drainage.