Background: Endodontic treatment is usually performed in teeth with periapical lesions. The present study was conducted to assess outcome of 124 apical surgery. Materials & Methods: 124 patients who underwent apical surgery were included. The occurrence of periapical lesions was established with panoramic radiograph. Apical surgery was performed following standardized process. Results: Age group 10-20 years had 22, 20-30 years had 30, 30-40 years had 38, 40-50 years had 21 and >50 years had 13 patients. The indication of periapical surgery was missing root canal in 52 cases, material beyond apex in 48, broken instrument in 14 and unknown in 10 cases. 94 cases showed healing and 30 had not. The difference found to be significant (P< 0.05). Conclusion: Missed root canal, broken instrument were the most common indication of the apical surgery. Most the of cases showed healing after 1 year. Key words: Apical surgery, Missed canal, Endodontic surgery