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Background: Acute abdomen constitute one of surgical emergencies for surgeons worldwide. Acute onset of abdominal symptoms that possibly threatens life thus demands early diagnosis as well as early treatment. Key to successful diagnosis is high level of suspicion and frequent physical examination with close observation added with diagnostic evaluation. Objectives: To study the proportion of occurrence of various causes of non-traumatic acute abdomen with respect to its various parameters like age, sex, clinical features, surgical treatment and complications of the treated patients. Methods: The data for this prospective study was obtained from 1st April 2020 to 31st March, 2021 with a follow-up period of 1 month in patients diagnosed to have acute abdomen and undergoing treatment in Guru Nanak Dev Hospital, attached Govt. Medical College, Amritsar. Permission was taken for the study from the institutional ethical committee. Results: There was male preponderance as compared to females and the male to female ratio is 1.6:1.Majority of patients were seen in the age group 31 to 40 years. All the cases 100% have pain as major symptom, followed by fever which was present in 78 % cases. The most common sign that can be observed in cases of acute abdomen was tenderness and majority of cases were Appendicitis in 35% of cases followed by perforation peritonitis and cholecystitis 23% each. Conclusion: Acute abdominal pain usually represents a spectrum of conditions including benign and self-limited disease to surgical emergencies. Evaluation of abdominal pain requires an approach that mostly relies on the likelihood of disease, patient history, physical examination, and investigations. [ABSTRACT FROM AUTHOR]