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Introduction: Dengue fever (DF) is an arboviral infection transmitted to humans through the bite of an infected Aedes mosquito. It causes a wide spectrum of illness from mild asymptomatic illness to severe fatal dengue haemorrhagic fever (DHF) & dengue shock syndrome (DSS). In India, dengue is endemic / hyperendemic with prevalence of all four serotypes of dengue circulating in population. There is almost two-fold rise in dengue cases in India from 2015 to 2017. With this background, present study was conducted to study trend & pattern of dengue patients attending a tertiary care hospital of Himmatnagar, Gujarat. Material & Method: Patients attending hospital from January 2017 to December 2018 with suspected dengue infection were included in this study. ELISA kits were used for detection of dengue NS1 antigen & dengue IgM antibody. Result & Discussion: The present study shows that there is increased number of dengue cases as well as positivity rate in 2018 (n=141, 34.2%) as compared to previous year 2017 (n=24, 12.1%). We found that most of the cases were seen during September to December period with peak during October. Very few cases occurred during the period January to July in the study. Trend of dengue in our study correlated well with other studies. Conclusion: Community awareness, early diagnosis and management and vector control measures need to be strengthened in order to reduce the increasing number of dengue cases. [ABSTRACT FROM AUTHOR]