Highly selective or proximal gastric vagotomy is one of the definitive treatments for gastric ulcers. The results of this operation, in comparison to truncal vagotomy, is well appreciated by the surgeons. On the contrary, the incomplete and inadequate performance of this procedure results in the recurrence of the ulcers, post vagotomy diarrhoea and the dumping syndrome. The knowledge about the normal and abnormal patterns of the anterior and posterior gastric nerves is an imperative to the surgeons who perform highly selective vagotomy. Most of the studies in this region have been done on the western population and the perspective of truncal and highly selective vagotomy is based on the western literature only. However, Indian studies regarding this topic, are only few and far inbetween. This nature of study on the Indian population in this part of the country was an initiative. 55 stomach specimens were utilized for the study. The anterior gastric nerve was dissected out from the level of commencement to the level of termination by the dissection method. The branching pattern, plexus formation and crow's foot appearance at the level of the termination of the anterior gastric nerve were studied. The results which were obtained are analyzed and discussed in detail. © 2012 Elsevier B.V., All rights reserved.