Background: The ophidian accident in Colombia constitutes a public health problem, whose trend has been increasing according to INS reports; The most affected population are rural workers, who carry out their activities as farmers. In our environment, the snake that produces the largest number of ophidian accidents is the Bothrops genus, whose venom locally causes injuries that may require surgery to attenuate the sequelae produced. In this study we will carry out an epidemiological and surgical management description of the patients treated at the Hospital San Vicente Fundación Methodology: Using the ICD10 code for ophidic accident, the clinical records of the years 2014-2018 of the Hospital Universitario San Vicente Fundación were filtered, obtaining 351 cases, a survey was developed using Google Forms, which was completed by reviewing each clinical history to find the information of each case . Results: Population of greater affectation men, productive age and farmers, site of bite more frequent lower limbs, produced in 88.3% by Bothrops. Of these 39.6% classified as serious; 2.6% mortality. 16.5% required surgery; 67.2% of these were performed between 4 -15 days, washing and debridement 48.2%; amputation 13.8%, fasciotomy 3.4%. Conclusion: In the Hospital, serious cases of ophidic accident are attended because it is a referral center, the main management of the ophidic accident is the application of serum, the attention is carried out by an interdisciplinary group, a small percentage requires surgery, which is performed mostly after 4 days of admission
