Introduction: Hepatobiliary surgeries are complex procedures associated with significant morbidity and mortality, particularly in resource-limited settings where infrastructure, advanced imaging, ICU support, and multidisciplinary care may be constrained. Evaluating surgical outcomes in such settings is essential to identify gaps and improve patient care. Materials and Methods A prospective observational study was conducted over 24 months at a tertiary care center. A total of 150 patients undergoing hepatobiliary surgeries were included. Demographic details, clinical profile, intraoperative parameters, postoperative complications, and outcomes were analyzed. Postoperative complications were graded using the Clavien–Dindo classification. Statistical analysis was performed using SPSS version 25. Results: The most common indication for surgery was cholelithiasis (46%), followed by malignant hepatobiliary conditions (28%). Overall complication rate was 24%, with surgical site infection (10%) being the most frequent. Mortality rate was 4%. Longer operative time and intraoperative blood loss were significantly associated with postoperative complications (p<0.05). Conclusion: Despite infrastructural constraints, acceptable outcomes can be achieved in hepatobiliary surgeries through meticulous surgical technique, appropriate patient selection, and perioperative optimization. Focused improvements in ICU care and infection control may further reduce morbidity.