Introduction: Cervical Lymphadenopathy in pediatric age group can be physiological as well as pathological thus challenging and  a source of anxiety both for clinicians and parents .There are numerous etiological factors but the commonest cause is a reaction to some symptomatic or asymptomatic inflammatory process.FNAC is a safe ,simple and economical diagnostic tool to study various cytomorphological patterns of lymphadenopathy so as to arrive at a definitive diagnosis and administer proper treatment .Material and Method :This is a 2 year retrospective study from 1^st Jan 2015 to 31^st  Dec 2016 . A total of 184  children from 0–18 years with significant cervical lymphdenopathy(>1cm) attended cytology section of the pathology department of Govt Medical college Jammu.Results :There were 114 males and 70 females with a M:F ratio of 1.62:1.The age group varied from 0–18 years with the maximum cases(n=66) 35.86% seen in 6–12 years followed by that in 12–18 years (n=60)32.60%.In the present study, the commonest cause of pediatric cervical lymphadenopathy was found out to be Non Specific Reactive Lymphadenitis (n=138) 75%,followed by tubercular lymphadenitis confirmed by Ziehl –Neelsen stain in (n=20)10.86%.Diagnosis of lymphoproliferative disorder was given in (n=3) 1.63 % cases only.Conclusion :FNAC is a reliable ,economical and minimally invasive procedure for interpretation of various cytomorphological patterns of lymphadenopathy in pediatric age group .