Torsion of the testis is a urological emergency where the spermatic cord twists, cutting off blood supply to the testicle. It causes sudden, severe scrotal pain, swelling, nausea, and vomiting. Immediate surgical intervention is required to prevent testicular loss. The surgery involves making a small incision in the scrotum, untwisting the testicle, and assessing its viability. If the testicle is healthy, it is secured (orchidopexy) to prevent future torsion. If necrosis has occurred due to prolonged torsion, the affected testicle may need removal (orchidectomy). Early surgery within 6 hours of symptom onset can save the testicle in most cases. Recovery is quick, with most patients resuming normal activities within a week. Potential complications include recurrence, infection, or fertility issues. Post-operative care involves pain management, scrotal support, and avoiding strenuous activities. Timely treatment ensures the best chance of testicular preservation and prevents complications.