Leak from Gastrointestinal anastomosis following resection is associated with morbidity.  To address this issue, we conducted a randomized trial comparing "hand-sewn" with "stapled " anastomosis. The cases were randomly allocated depending on the affordability and availability of instrument for the procedure .A detailed history and the routine and specified investigations were carried out and the details about operation were recorded. Proper post operative  care and careful observations done. Two group made (i) Stapled and (ii) Hand Sewan 25 patients in each group. The primary outcome measure was anastomotic leak rate. Secondary outcome were duration of surgery, hospital stay and wound infection. The overall anastomotic leak rate was 14%. The leak rate was higher in hand sewn group(hand-sewn: 5/25, stapled: 2/25; p=