Purpose: Intra-abdominal collections represent a prevalent clinical challenge within the realm of surgery. Interventional Radiology (IR) Procedures have emerged as a pivotal treating modality for being minimally invasive, reducing patient distress and enhancing recovery outcomes thereby reducing costs to the healthcare systems. The primary objective of this study was to look at the management of acute surgical pathologies being managed by IR procedures and their clinical efficacy and outcomes Methodology: A retrospective study conducted at Campbelltown Hospital encompassing a patient cohort undergoing IR intervention for intra-abdominal pathologies from January 2020 to December 2022. Data collection was performed via the electronic medical system. Systematic analysis was done via Microsoft excel Results: A total of 92 patients were included with 44% (41) males and 55% (51) females. Median age was 59.35 15 SD. Most common pathology identified undergoing IR drainage was Percutaneous cholecystostomies 18% (17) then abdominal wall collection 14% (13) and hepatic abscess 14% (13). 52% (45) had procedures within 24H of the decision of IR intervention. However, 44% (41) of patient had intervention after 24H. 88% (76) of patients had a successful outcome Patients requiring repeat procedures were 9% (8) Conclusion: This study showed effective and timely interventions were provided to patients in a tertiary care hospital. Although some delays were evident due to transfer to a separate tertiary care facility, they were not significant in impacting patient outcomes. Enhancing IR resources can improve patient experience and significantly reduce the cost on the health care system