Background: Thecoperitoneal shunt (TPS) is a method of diverting cerebrospinal fluid (CSF), similar to the ventriculoperitoneal shunt (VPS). While VPS is a common and widely used procedure for hydrocephalus, TPS is less frequently practiced due to limited data on its indications and complications. Patients and Methods: In this study, we retrospectively reviewed our experience with TPS and its indications and complications, in 17 patients operated on from January 2021 to December 2023, with at least six months of follow-up. We analyzed the patients’ clinical data, indications, imaging studies, and complications. Results: Seventeen patients underwent TPS in our institute. The common indications were idiopathic intracranial hypertension (IIH), normal pressure hydrocephalus (NPH), cerebral venous thrombosis (CVT) with vision loss, pseudomeningocele, and CSF leak from the surgical site. The mean follow-up period was 1.2 years. Common complications included shunt overdrainage with subdural collection, shunt infection, shunt blockage, and shunt disconnection. A literature review revealed various other indications and complications. Conclusion: TPS is an effective and favorable treatment modality for various conditions and demonstrates good clinical outcomes. The encountered complications can be managed effectively and may be reduced with additional precautions and strategies.

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