ABSTRACT
Laparotomy is the traditional surgical procedure where the large incision is made into an abdomen to explore and visible the abdominal internal organs so it is also called Exploratory Laparotomy. It's main purpose is to determine the source of pain, extent of injury and perform repair of damaged organs. It is a life saving technique for cancer and tumour cases. In critical conditions, the emergency laparotomy1 is performed to save patient's life. After surgery mainly due to midline incision the patient develops restricted pattern of breathing; thereby increasing risk of chest infections, atelectasis and other post pulmonary complications. Prolonged bed rest in same position may also develop oedema, pressure sores, muscle weakness to wasting. In this case 53 years old male with known HTN was admitted with abdominal pain, on – off fever, mild dyspnea after treating the symptoms further evaluation revealed carcinoma of stomach. After stabilizing, the patient under goes emergency laparotomy. But after the surgery the patient may highly prone to post pulmonary complications. The early post operative physiotherapy plays crucial role to avert post pulmonary complications and assist in recovery