Background: Cancellations of scheduled surgeries lead to resource wastage and impact patient well-being. Last-minute cancellations exacerbate these challenges, affecting patient experience and healthcare cost. Methodology and Objective: The present study was an audit of scheduled surgeries at a tertiary care teaching hospital. All the patients scheduled to undergo elective surgeries at a tertiary care teaching hospital from July to December 2023 were included. The present study involved 400 cases affected by surgical cancellations collected via structured observations. Result: For the given study period, a total of 2,614 patients were scheduled for elective surgical operations included. Among these, 400 (15.3%), of the operations were cancelled, while 2214 (85%) patients underwent surgery on their planned date. The most common reasons for cancellation were administrative (150 cases, 5.73%), patient-related factors (120 cases, 4.5%), medical reasons (80 cases, 3%), and anaesthesia-related concerns (50 cases, 1.9%). Conclusion: Our study reveals a 15.3% cancellation rate of scheduled surgeries over 6 months. Administrative or structural reasons were the main cause followed by patient related and medical reasons for cancellation of schedule surgeries. Collaboration among healthcare stakeholders is essential for implementing effective solutions, to reduce cancellations of operations.