Aim: Gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors of the gastrointestinal tract. The most frequent localizations are the stomach (50-60%) and the small intestine (20-30%). In this study, our aim is to present the surgical approach of our clinic to emergency GIST cases with small intestinal localization, the features of the tumors and their clinical presentations. Material and Method: The cases of 8 patients with GISTs of the small intestine, who had emergency surgery between January 2006 and December 2011 at Necmettin Erbakan University, Meram Medical School, were evaluated retrospectively. Results: There were 84 diagnosed GIST cases at our clinic. 21 of these had GIST of the small intestine. 8 out of these 21 cases had presented in emergency and had been operated on. 4 of these patients were female (50%), while 4 were male (50%) and the average age of the patients was 65 . All patients presented in emergency and emergency surgery was performed on all the cases. Mortality was seen in 1 (14%) patient during the early post-op period. No recurrences were seen during the 30 months of average follow-up. Conclusion: Our experience revealed that emergency surgical intervention might be needed for GISTs. It was considered that there might be a relationship between the tumor size and the fact that the tumor was symptomatic. Laparoscopic resection is generally possible since they are rarely metastatic to the lymph nodes and it is not difficult to obtain negative surgical borders. Laparoscopic methods should be preferred in appropriate cases