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<b>Aim:</b> To study the clinical outcome of shunt surgeries in children suffering from hydrocephalus. <b> Methods:</b> A prospective study of 50 children with hydrocephalus who underwent a ventriculo-peritoneal shunt insertion over a period of two years. These patients were then followed up for shunt related complications, shunt revisions and outcome. <b> Results</b> : Twenty six of the 50 patients (52&#x0025;) suffered from complications. The most common complications were shunt blockage (n=7) and shunt infection (n=6). These complications necessitated repeated shunt revisions. <b> Conclusions:</b> Infective complications of hydrocephalus are more likely to leave behind an adverse neurological outcome in the form of delayed milestones and mental retardation.