Introduction : Frequently monitored, occurrences of peptic perforation due to a variety of etiologies are still frequently discovered. The surgical Graham Patch Repair technique is still regarded as having a respectable level of accuracy and profitability. Methods : The PubMed literature search engine's advanced search feature was utilized to find literature review papers for this journal. Selected periodicals from which writing was based were collected. Result Peptic perforation can occur under a variety of circumstances, and both the Graham technique and the Modified Graham Patch repair are recommended. The benefit of using the best Graham approach is that it promotes quick wound healing while lowering morbidity and mortality. Conclusion : Peptic perforation can occur in a variety of medical conditions, yet in these cases the Graham technique can still be recommended. Different surgical treatments regularly have unanticipated consequences, necessitating their modification or even combination in order to preserve the patient's life while also reducing prospective problems in the future.