Intestinal obstruction is known as the most common surgical emergency in Iraq and represents a major challenge for most surgeons. This study aims to the evaluation of the outcomes of surgically treated intestinal obstruction cases in Iraqi patients. A study was conducted on patients who underwent surgical intervention for intestinal obstruction, where 60 patients from the hospital were included, and cases where their information and demographic data were fully available and were excluded. Sixty patients were included in this study (12 patients who had unfavorable surgical outcomes) and (48 patients who had favorable surgical outcomes), and the most common and frequent complication among patients was wound infection with 4%. Length of illness, comorbidity, intraoperative bowel condition, bowel resection was done, and length of hospital stay after operation were significantly independent factors associated with the surgical outcome management of intestinal obstruction.