Background: Interventional (percutaneous) drainage of abdominal abscesses provides a safe and effective route of management and through which we can avoid the common drawbacks of the conventional surgical drainage. Aim of the work was to evaluate the efficacy of the percutaneous drainage compared to the conventional surgical drainage and report advantages if proved. Methods: This prospective randomized comparative study included patients who presented to the Surgery Department of Zagazig Emergency hospital complaining of the abdominal abscesses within the period from May 2018 to November 2018.These patients were randomly divided into two groups with each had its management approach, Interventionally drained group: 15 patients and surgically drained group: 15 patients. The procedure was explained to the patients, and they were consented as regard to the postoperative morbidity and mortality. Results: There were statistically significant difference between both groups in which application of interventional drainage decreases the post-operative hospital stay (P = 0.0004). also, maneuver costs showed significant decrease in the Interventionally drained group (P