Abstract : Trauma is a major worldwide problem. It is one of the major causes of death in industrial and civilized countries. Trauma is the most common cause of death between the age of 15 & 44 years and 3rd most common cause of death worldwide regardless of age. The most significant change in trauma patient's care over the last decades is represented by the switch to selective non-operative management (NOM)7. This was a study done among the patients admitted with alleged history of blunt abdominal trauma in tertiary care hospital. Total 50 patients were taken in the present study. The study participants are evaluated and recorded various variables like mechanism of injury, hemodynamic stability, and organ injured, grading of injury etc. All patients with hemodynamic stability were managed in surgical ICU with close observation, serial investigations & immobilization. Only 3(6%) patients required operative management later on in NOM group. Total 15(30%) patients were managed operatively. All patients were kept in surgical ICU. In OP group incidence of spleenic injuries is highest (47%). Hemodynamic instability remains the most important parameter in decision making between conservative and operative management of trauma patients with solid organ injury. Most of the patients were managed conservatively in intensive care unit with regular monitoring and serial CT scan. Non operative line of management is now considered the line of treatment for patients with intra-abdominal organ injury that are hemodynamically stable.