The incidence of intraabdominal complications after ventriculo-peritoneal (V-P) shunting decreased following improvements in operative technique; but they still occur. These complications are migration of the peritoneal catheter to the abdomen or extruded through the abdomen wall, CSF pseudocyst, peritonitis, intestinal obstruction, bowel perforation and abdominal metastasis of brain tumor. V-P shunts that were performed in Cairo university hospitals in the last five years were reviewed. The causes and management of these complications were discussed for direct attention at prevention and management.