Introduction: The treatment team for pseudocysts includes radiologists, endoscopists and surgeons. The radiologists by way of guided per-cutaneous techniques for aspiration/drainage to the therapeutic embolization of bleeding aneurysms the endoscopists by way of various endoscopic drainage procedures contribute to the team. Methodology: Patients admitted to department of surgery with symptomatic pseudocyst of pancreas of greater than 6 weeks duration are included in the study. Percutaneous drainage involves either simple percutaneous aspiration or percutaneous catheter placement, most commonly performed under CT control, but in some cases under sonographic or fluoroscopic guidance. It is a valuable alternative to operative management, as maturation of the pseudocyst wall does not have to be awaited. Results: Among aspiration group, 60%(18 patients) patients needed only 2 aspirations to relieve symptoms, whereas 30%(9patients) patients needed 3 aspirations and 10%(3 patients) needed 4 aspirations. Among 30 patients who underwent surgery, 16 patients (53.3%) had cystogastrostomy,  patients(23.3%) had cystojejunostomy, 3 patients(10%) had cystoduodenostomy, 2 patients(6.7%) had distal pancreatectomy. 2 patients(6.7%) had external drainage as surgical procedure. Conclusion: USG is simple and can be done bedside and also palliative option in patients who are not fit for surgery and are debilitated. 

Keywords: Pancreatic Pseudocyst; USG Guided Aspiration; Surgery.