A study was conducted to look out for the incidence and management of symptomatic Meckel’s Diverticulum at Peoples Medical College Hospital, Nawabshah [Pakistan]. Twenty-two patients admitted between January 1996 and December 1998 over a period of 3 years were included in the study. Fifteen Patients presented with acute / subacute intestinal obstruction, 3/22 with peritonitis due to perforated Meckel’s Diverticulum and 4/22 with bleeding per rectum 17/22 patients [77.27 percent]had wedge resection of Meckel’s Diverticulum’s and 5/22 [22.72 percent]were treated with segmental resection. The incidence of complicated Meckel’s Diverticulum is fairly common in our area. Though laparoscopy is a preferred diagnostic as well as therapeutic procedure, laparotomy still remains the procedure of choice for both purposes in case of suspected or complicated Meckel’s Diverticulum when Laparoscope is not in practice