Introduction: Study of clinical indications of hysterectomies and their histopathological diagnosis is of importance since hysterectomy is one of the commonest surgeries performed in gynaecological practices all over the world. Histopathological evaluation is required for a definitive diagnosis.

Objectives: The purpose of this study is to cor relate the clinical indications of hysterectomy with the histopathological diagnosis and to evaluate the incidence of common pathologies encountered in this region, along with age distribution.

Material and methods:This prospective study  included 500 consecutive   cases of hysterectomies received in the department of pathology over a period of about eight months from January 2017 to August 2017.Clinical data were noted from the case records ,which included age, presenting symptoms, USG findings and clinical indication for hysterectomy . Histopathological diagnosis was made and correlated with the clinical indication.

Results:In our study the commonest pathology found onhistopathological examination was leiomyoma followed by atrophic endometrium of prolapse uterus.

Conclusion:Clinical indications correlated well with histopathological findings. Histopathologicalexaminationis a definitive tool for diagnosis and management of the patient.