Background: Head injury is a significant reason for high dreariness and mortality, especially in youthful and useful age bunch patients. As per the World Health Organization report on street security, road traffic accidents (RTAs) would be the fifth driving reason for death worldwide constantly 2030. Larger part of the head wounds are ramifications of street auto collisions (RTAs), falls, attacks, or wounds, happening either in the work environment, during sport, and so forth. Present study was aimed to study patients with head injury coming to our tertiary care center. Methods: Present study was a prospective, observational type, conducted in patients with head injury who were admitted under the department of surgery during study period. Results: After applying inclusion and exclusion criteria, total 230 patients were considered for present study. 57% patients were from 21-50 years age group. Male to female ratio was 2.6:1. RTAs (63%) was most common cause of head injury in present study followed by assaults (20%) and fall from height (10%). 63% patients had mild head injury, while 21% and 16% patients had moderate and severe head injury respectively. Total 17% deaths were noted in present study. Outcome worsens with worsening of severity of head injury. Conclusions: Trauma remains leading cause of head injury in present study. Necessary preventive measures and vigorous training of all medico and para-medico staff for early management of head injury can definitively reduce mortality and morbidity due to head injury.