Background: To determine whether non-operative treatment of blunt abdominal trauma is feasible in Ghaziabad. Methods:In a teaching hospital in the western region of Nepal, a prospective observational study that included 52 instances of blunt abdominal trauma was conducted over the course of three years. The patient and trauma features of the cases, as well as the effectiveness of various treatment approaches, were assessed. Three categories—Operative, Non-Operative Management, and Non-Operative Failure—were used to categorise all the cases. Using the Fischer Exact Test for categorical variables and the student's "t" test for continuous variables, the operational group and non-operative management group were compared. Results: In this study 40% of the cases fell into the operative category, 60% into the nonoperative management category, and 2% fell into the non-operative management failure category. In 96% of cases, nonoperative management worked. Injury severity score, entry hematocrit, and hemodynamic condition varied markedly between the non-operative care and the surgical group. A delayed hepatic haemorrhage led to non-operative management failure in one case. Conclusion: There is a good chance of success when trying non-operative therapy for blunt abdominal trauma. The indicator of non-operative management failure is hemodynamic and clinical instability rather than the severity of the organ harm. Due to hemodynamic instability in splenic injury and peritoneal contamination in bowel injury, spleen and bowel damage are the most frequently occurring organs to require surgery. It is always ideal to have close supervision in an intensive care unit