Introduction: Shoulder dislocations represent 50% of all major joint dislocations, with anterior dislocation being most common. Anterior shoulder dislocations often occur due to trauma where the arm is in an abducted and externally rotated position. The clinical presentation patients typically present with pain, inability to move the shoulder, and a visible deformity. Objective: To determine the efficacy of Prakash’s method of shoulder relocation in acutely first-time anteriorly dislocated shoulder. Methods: This Cross sectional study was conducted at department of Orthopedics from January 2023 June 2024. A total of 124 patients of both gender with anteriorly dislocated shoulder were included in the study. In all patients, reduction was attempted in a sitting position. Results: Age range in this study was from 18 to 60 years with mean age of 39.540±9.52 years, mean BMI 25.395±2.29 Kg/m2 and mean duration of complaints was 2.887±1.14 days. Male patients were 69.4% and females were 30.6%. Efficacy was observed in 83.1% patients. Conclusion: Our study has concluded that Prakash's method of shoulder relocation is an effective technique for managing acutely first-time anteriorly dislocated shoulders.