Abstract: This paper attempts to examine the effects of accounting practices on Small and Medium Enterprise. This study was a descriptive in nature as it targeted all Small and Medium Enterprises in Port Loko Town. A structured questionnaire was administered to one hundred and fifty (150) Small and Medium Enterprise owners and managers out of which one hundred (100) questionnaires was valid and analysed using Statistical Package of Social Science. The findings of the study shows that Small Medium Enterprise in Port Loko township do not maintain accounting records for their business transactions, and these Small and Medium Enterprises in the study context agreed to the fact that the utilization of accounting practices has been faced with some challenges in their attempt to embraced them in the daily business operations.