Of the total of 1,233 patients of TBI treated in the Department of Neurosurgery over a period of 18 months (May 2018-Oct 2019), 560 were included in the present study.In- hospital deaths were reduced after the initiation of early physiotherapy and rehabilitation program that increased the number of discharged patients (38%; 288/759) in 2019 versus 24% (115/474 in 2018).Patients treated during the period of May 2018 to December 2018 did not receive physiotherapy, those treated from January 2019 until October 2019 were given physiotherapy and rehabilitation, At 3-month follow-up, GOS was 5 (63.7%; 174/ 273) in 2019 compared with (41.3%; 41/ 98) patients in 2018.The probable reasons could be far-off places (interior places), financial constrictions, illiteracy, and ignorance.All patients were advised regular follow-up.