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In India most of the patients of gastric cancer report to the surgeon at a relatively advanced stage. Very few patients present in early stage ( stage I & IIa) who can be treated and cured by radical surgical procedures. But a very large number of patients ( nearly 80%) present in either locally advanced ( stage IIb to IIIb ) or with metastasis ( stage IV ). . Many of them have vomiting, electrolyte imbalance, anaemia and low general condition to tolerate chemotherapy. As a result curative surgery is not possible in these cases and hardly 50% of these advanced gastric cancer patients can be subjected to chemotherapy as neoadjuvant. Often these patients are subjected to safe and shorter surgical procedures like Anterior gastro-jejunostomy or a feeding jejunostomy for nutritional purpose leaving behind the main disease. As the growth is not excised bleeding from it persists and anaemia is not corrected in spite of repeated blood transfusions, thereby hampering proper chemotherapy in proper dose, drug and at regular intervals. Many of these cases become refractory to chemotherapy and gradually turn to stage IV . Some of these lead to penetration into pancreas and celiac nerves and even perforations at the growth site. The overall survival of these patients are approx. 6-8 months . This is a ongoing study to see the effectiveness of palliative gastrectomy ( partial, subtotal or total) in locally advanced conditions. Here most of the time the fixed nodes of D2 /D3 regions are left behind and the adhesions from the pancreas and adjacent structures are released by R1 resection. All these patients are subjected to palliative chemotherapy after surgery, which are tolerated well without much side effects and the overall survivals are found be extended to 15-18 months . Moreover the chances of penetration and perforation are avoided. The most important contraindications to gastrectomy in this group are ascites and widespread peritoneal dissemination. This paper presentation is intended to share the experience of palliative gastrectomies in more than 300 cases performed in last 25 yrs. in locally advanced gastric cancers and highlight the effectiveness of such ventures, which involves lot of surgical skill and risk as well . Hence all patients of gastric cancers on whom a radical surgery is not possible, every attempt should be made for at least a palliative gastrectomy with or without nodal clearance. The usual practice of anterior gastrojejunostomy or a feeding enterostomy are often not helpful and therefore should be discouraged. ………………………………………………………………………………………………………………………… I declare that there is no conflict of interest involved. [ABSTRACT FROM AUTHOR]