Background: Several surveys indicate that endodontically treated teeth are commonly associated with a high rate of periapical lesions and poor endodontic quality. The decision to perform periapical surgery should be based on comprehensive examination of the patient’s dental, oral and medical conditions. Hence; the present study was undertaken for assessing the profile of patients undergoing peri-apical surgery. Materials & methods: Data records of a total of 40 patients were obtained who underwent peri-apical surgeries. After meeting the exclusion criteria, complete demographic and clinical data of all the patients was obtained. Detail data about the procedure and outcome of peri-apical surgery was also obtained. Radiographs were obtained from record files and separate analysis was done. Results: Peri-apical surgery was performed in incisors in 50 percent of the cases while it was performed in canines in 30 percent of the cases. Maxillary arch was involved in 57.5 percent of the cases. Peri-apical cyst/granuloma was the reason for peri-apical surgery in 55 percent of the cases, while broken instrument was the reason in 20 percent of the cases. Conclusion: Peri-apical surgeries are one of the routine dental procedures performed these days, mainly because of instrument breakage during root canal therapy or due to presence of peri-apical pathologies after finishing of endodontic therapy. Key words: Peri-apical, Surgery