Surgical Acute Abdomen is an emergency that requires prompt surgical intervention.rnMultiple studies have established a direct link between delays in presentation and surgical outcome inrnterms of morbidity and mortality. There are 4 layers/levels within the healthcare system: thernEnvironment, the Organization, the Health Care Team and the Patient. When analyzing delays it isrnprudent to identify deficiencies at all 4 levels of the healthcare model interventions to correct orrnmitigate deficiencies will be different at each. Even though reasons for delay are multi factorial, it isrnprudent to identify deficiencies at all 4 levels of the healthcare model. This study mainly focuses on therninfluences of patient and primary health care factors for surgical delay in pre hospital time. We tried tornsee why patients delay in seeking help, and some factors after reaching healthcare system. Studies thatrnhave attempted to describe factors that significantly affect Health Seeking Behaviour(HSB) during illnessrnepisodes can be broadly classified into two. Studies which emphasize the utilization of formal healthrnsystem, or health care seeking behavior of people. These involve creating models that describe series ofrnsteps people take towards health care model such as The Anderson, pathway models .The Andersenrnhealthcare utilization model is a conceptual model aimed at demonstrating the factors that lead to thernuse of health services. According to the model, usage of health services is determined by threerndynamics: Predisposing, Enabling factors and Need. Our study is under the second group. The Secondrngroup of studies demonstrate that decision to engage with particular channel is influenced by variety ofrnfactors such as socioeconomic status, age ,sex ,social status, type of illness access to service andrnperceived quality of service. The second group comprises those studies which emphasize the process ofrnillness or HSB. Focus on specific genres of determinants which lie between patients and services such asrngeographical social economic cultural and organizational factors.