Aims: To study the surgical outcome in paediatric patients presenting with spinal dysraphism in our institution. Materials and Method: 78 paediatric cases presented between 2014 to 2019 with myelomeningocele to the neurosurgical OPD in Vijayanagara Institute of Medical Sciences, Ballari which caters to mainly rural and semi urban population. Initial clinical assessment, followed by operative work up was done. MRI Brain and spine was done as a prep operative evaluation. Post-operative outcome was noted and Post-operative regular follow up after discharge for at least 6 months.