Cervical cancer related morbidity and mortality is increasing in developing countries. This study was carried out in Bihar due to high prevalence of various causative factors. We studied 654 pap smears and analysed various epithelial abnormalities and compared them with other studies with similar sample size.

Summary: This study was carried out in 199 bedded zonal Hospital. 654 Cervical Pap smears were collected, stained with Pap stain and analysed as per the Bethesda system 2001 for Pap smears reporting. Maximum patients were from 31–40 years of age. 94.5% of all smears were abnormal, out of which 90% smears were inflammatory. Total 4.28% smears showed various epithelial abnormalities, out of which 2.7% Patients had Atypical Squamous Cells of Undetermined Significance. In our study, we had more patients with abnormal smears and inflammatory lesions which stress the need for better hygiene and sanitation, availability of adequate water and education and mandatory mass screening in developing countries to prevent cervical cancer related deaths.