OBJECTIVES: Globally 80% cardiovascular disease deaths occurred in low and middle income countries with almost equal proportion inboth gender. Evidence shows that people in low and middle income countries are more exposed to cardiovascular risk factors while less exposed to preventivemeasures. It may lead to long course of management by either/ both medical and surgical techniques including coronary artery bypass surgery, increasing the economic burden.In order to find avenue for prevention, we aimed to measure the prevalence of cardiovascular risk factors among patients undergoing elective CABG in Karachi, Pakistan. METHODS:   Information was collected through structured questionnaire and entered into Microsoft Access software. On the basis of research hypotheses, specific data chunk was extracted and analyzed in SPSS 19. RESULTS: In this retrospective chart review, 2073 patient undergoing elective CABG between January 2006 to June 2011 were included. Mean age of the patients was 54.85±9.7 years. Out of all, 14.7% patients were females.Family history was present in 53%, 47.7% were smokers. Conventional risk factors of overweight was 47.10%, obese was 14.7%,diabetes was 47.7%, hypertension was 69.50%, dyslipidemiawas 50.20%,renal failure was 9.2% and prior MI was 46.7%. Outcomes includeoperative mortality of 0.3% while14.8%, renal failure, 7% arrhythmias, 2.3% reoperation and 3.1% prolonged ventilation as postoperative complications. CONCLUSIONS: There is a high prevalence among patients undergoing elective CABG of coronary risk factors including dyslipidemia, hypertension, diabetes and smoking.