A diamond is one of the best–known and most sought–after gemstone. The diamond trading profession includes;diamond mining, diamond cutting, diamond polishing, diamond assortment, and diamond selling.The diamond industries in India consist of two main categories; diamond polishers and assorters.The aim of this study was to find out the prevalence of musculoskeletal pain in diamond workers along with the prevalence of work absenteeism due to musculoskeletal pain. 50 diamond workers were selected for the study. A self made validated questionnaire was used as an outcome measure. There was a high prevalence of musculoskeletal pain among diamond polishers 76% (38/50) and among diamond assorters 78% (39/50). Low back and elbow were the most prevalent musculoskeletal pain areas among diamond workers. There was increased work absenteeism among diamond workers. Both diamond polishers 63% (24/38) and diamond assorters 85% (33/39) had reported increased work absenteeism.