The study was conducted in tertiary care hospital of Lahore. Patient undergoing Whipple procedure were studied by compiling demographic details of the patients, common presenting symptoms, various indications for Whipple's procedure, the cofactors which affect the procedures outcome and morbidity and mortality of the patients.

This study was performed by collecting data through predesigned questionnaire about patients undergoing Whipple's procedure from operation theatres and medical record section. Those patients, whose tumor was unresectable and undergone palliative surgical procedures were excluded from the study.

Inclusion Criteria:

• patients of both sexes with age ranging from 20 years to 70 years
• patients with pancreatic tumors
• patients with adequate cardiorespiratory reserves to be fit for prolong general anesthesia

Exclusion Criteria:

• unresectable tumors
• unfit for surgery