Introduction: Incidence of colorectal carcinoma been rising dramatically. Variability in the sign-symptom of colorectal carcinoma poses significant challenge to the physician. Early detection through widely applied screening program is most important in early diagnosis. Objectives of the study was to determine the site of lesion and various presentation, correlate clinical and laparotomy findings and immediate surgical complications of colorectal carcinoma. Methods: The study included 25 adult patients with clinical and histo-pathological evidence of colorectal carcinoma. Demographic data as well as parameters relating to the symptoms, sites, diagnosis, preoperative findings and postoperative complications were retrieved. Results: The maximum cases were in 31-40 years age group, male: female ratio was 2.1:1. Rectum was most common site of involvement (13; 52%cases). Rectal carcinoma presented with per rectal bleeding (10; 40%cases), sense of incomplete evacuation (9; 36%cases) and altered bowel habit (8; 32%cases). Right sided lesion presented with weakness and weight loss (5; 20%cases) and with unexplained pallor (4; 16%cases). Clinically mobile growth was found in 18cases (72%), but curative resection was done in 15(60%) cases. Postoperatively 3cases (12%) developed wound infection and 1case (4%) developed fecal fistula. Conclusion: Often the early symptoms are so light that the patient does not seek advice for six month or more. For this in our country patients present with colorectal carcinoma at advanced stage. So we have to focus on sign-symptoms for early detection and apply best curable surgical facility improve quality of life.