Abstract : <p>Recently, electrosurgery is a safe and effective method for work. Although it is widely used in surgical procedures, mainly for subcutaneous and deep layer dissections its use on skin has been precluded by the fear of complications like delayed wound healing and surgical site infections. The present study was conducted to compare scalpel skin incision versus electrocautery skin incision in abdominal surgeries conducted at tertiary healthcare institute. The present study was a prospective study conducted among 60 patients admitted in all surgical units of D. Y. Patil Medical College and Hospital will be the subject of this study during the period of July 2019 to September 2021. Out of total 60 sample size, 30 cases were randomly taken for Scalpel skin incision and remaining 30 for Electrocautery skin incision. We observed infection among 6.67% subjects in scalpel group and 3.33% subjects in electrocautery group. Delayed wound healing was noted among 20% subjects in first group and 6.67% subjects in cautery group, Dehiscence - partial was noted among 13.33% subejcts in scalpel group and 3.33% subjects in cautery group. Necrosis was noted among 6.67% study subjects in scalpel group and 3.33% study subjects in cautery group. The use of electrocautery for making skin incision in abdominal surgery was associated with less incision time, lesser intraoperative blood loss as compared to scalpel incision. The postoperative pain and wound complications comparatively lesser in electrocautery group as compared to scalpel group.</p>