Technological advancement like chromoendoscopy, autofluorescence and magnification endoscopy has propelled usage of endoscopy for pre-operative diagnosis. Intestine resection now accounts for less than 1% of all surgeries. Despite these a death rate of 1.1% due to acute abominal conditions compells to look at indications and pathological features of associated diseases. Clinical details for all the 27 patients who had undergone intestinal resection were collected. The specimens were formalin fixed and examined. Microscopic features were recorded from the evaluation of sections. Out of 27 specimens, 13 were small intestinal resections. Ischemic bowel disease and perforation were common in small intestine and adenocarcinoma was common in large intestine. Uncommon pathologies like synchronous ampullary carcinoma and rectal carcinoma, a case of intestinal lipoma and inflammatory myofibroblastic tumors were included in collective. Peritonism following blunt injury should direct investigation for perforation. Aaggressive surgical approach is commonly resorted to in Ischemic bowel disease.