Over a period of one year from January, 1997 to December, 1997, 50 patients with cervical incompetence were managed with McDonald’s cervical cerclage in the department of Obstetrics and Gynaecology, Nishtar Hospital Multan. The incidence of cervical incompetence requiring surgical approach in our hospital-based study was 1.6%. Our results confirmed a success rate in the form of a successful pregnancy outcome i.e., a live birth or prolonging the duration of pregnancy thus improving fetal survival rate of 90% as compared to 52% in previous pregnancies. This represents 39 (76%) full-term pregnancies, 6 (12%) premature deliveries and 5 (10%) abortions. Cerclage was applied at various gestations in the 2nd trimester bu| only after 14 weeks of pregnancy. Optimum time for application of cerclage was observed to be 18 weeks or below. The possibility of having a mature baby in the group of low number previous abortions was higher as compared to the group with a higher number of habitual abortions. Better pregnancy outcome was seen in low parity group (less than 2 previous deliveries) as compared to higher parity groups. This study, like many others in the past, confirms that cervical cerclage is a successful way of treating cervical incompetence.