Background: The aim of this study was to compare the conventional method of incision and drainage with an alternative method of the incision and drainage with primary closure with or without drain. Materials and Methods: A total of 140 patients admitted to our hospital were randomly divided into two groups Group A: -includes 50% patients of total sample size in study by conventional method of incision and drainage only. Group B: -includes 50% patients of total sample size in incision and drainage with primary closure with or without drain. Results: Closed group patients required less analgesia post-operatively, had lesser time to heal, lesser duration of hospital stay, lesser number of dressing changes, lesser pain during dressing change, better scar and not much rate of recurrences than the open group. Conclusion: Primary closure with or without negative suction drain can be a alternative technique over the conventional incision and drainage method of acute abscesses according to this study.