Background: Placenta Accreta Spectrum (PAS) disorders represent a significant obstetric challenge, contributing to severe maternal and neonatal morbidity due to abnormal placental adherence and invasion.Objective: This study investigates perinatal outcomes following obstetric surgical interventions for PAS disorders, aiming to improve maternal and neonatal outcomes through standardized surgical protocols and multidisciplinary care.Methods: A prospective study was conducted over one year at Barasat Government Medical College, Kolkata, involving 100 patients diagnosed with PAS. Data on maternal outcomes (hemorrhage, hysterectomy rates) and neonatal outcomes (gestational age, birth weight, NICU admission) were collected. Multivariate analysis assessed the predictors of adverse outcomes.Results: Of the 100 patients, 60% underwent cesarean hysterectomy, while 40% were managed conservatively. Severe hemorrhagic morbidity (≥1,500 mL blood loss) occurred in 52% of cases. Neonatal outcomes included a mean gestational age of 33.4 ±2.1 weeks, with 68% of neonates born preterm. Average birth weight was 2,150 ± 480 grams, and 55% required NICU admission. Early diagnosis through Doppler ultrasound reduced intraoperative complications by 30%, while multidisciplinary approaches decreased maternal mortality by 20% (p < 0.05).Conclusions: Obstetric surgical interventions for PAS disorders significantly impact maternal and neonatal outcomes. Early diagnosis and multidisciplinary care are crucial for optimizing outcomes and minimizing morbidity. Further research is needed to refine surgical techniques and care protocols.