Background:  Morbidly adherent placenta (MAP) along with its variants is one of most dangerous obstetric emergency associated with high maternal morbidity and mortality. Objective:  Aim of this study was to determine frequency and complications of MAP in our local population presenting to a tertiary care unit Methods: Retrospective analysis of case records of all the women diagnosed as MAP was performed. Relevant details were sought from medical record. Frequency of MAP was calculated. Maternal morbidity including blood loss , need of transfusion. Hysterectomy, surgical complications, ICU admission and maternal mortality were also recorded.Results: During study period 23 cases of MAP were identified. In this study frequency of MAP was 1 in 273.56 pregnancies (0.36%) and 1 in118.82   caesarean sections (0.84%). Majority of patients (16) were diagnosed as placenta accrete, others included 3 cases of placenta increta and  4  cases  of  placenta  percreta.  Blood  loss  was  more  than  2  litres  in  21 patients. All patients required more than 4 units of blood transfusion. Obstetrical hysterectomy was required in 17 patients due to uncontrollable haemorrhage. Bladder injury was encountered in 3 patients and two patients required internal iliac ligation and uterovaginal packing each. ICU admission was needed in 17 patients. During study period 2 patients with placenta percreta were expired.Conclusion: Frequency of MAP is increasing in our local population probably due to increasing caesarean section rate. The associated significant maternal morbidity and mortality warrants need to reduce caesarean rate and early diagnosis in high risk patients.