Aim: To study various modes of management and to analyze outcomes of different modes of management of splenic trauma. Material & Methods: This was a retrospective observational study. The study comprised all splenic trauma cases that were brought to our institution and were diagnosed by Focused Abdominal Sonography in Trauma (FAST), CT scan, or per operatively. The study eliminated all abdominal trauma patients without splenic damage as well as seriously injured patients who died while receiving resuscitative care. The NOM was limited to hemodynamically stable patients with grade 1, 2 and 3 splenic injuries and no concomitant intra-abdominal injuries requiring exploratory laparotomy. Others underwent splenectomy and exploratory laparotomies. For a period of two weeks, the NOM patients underwent daily USGs of the abdomen in addition to clinical monitoring. Patients who first had internal bleeding while taking NOM had their spleens removed. Polyvalent pneumococcal vaccination was administered to all Splenectomy patients before discharge. On the eighth postoperative (PO) day, patients who had no issues following surgery were released. Those who experienced issues were released once they had fully recovered.