Head and Neck cancer (HNCA) is a recognized major public health concern all over the world. Aims– to study age and gender predilection, risk factors and clinical profile of head neck cancers. A retrospective study including 1162 patients with HNCA presented to ENT OPD at GMC Nagpur between period January 2013 to December 2017. Detailed history, clinical, cytological and radiological examination was done. Oral cavity cancers were 589 (50.68%), followed by larynx (19%) and hypopharynx (7.58%). Maximum patients between 50–60 years with male preponderance except for thyroid. Association of addiction and cancer was highly statistically significant. Conclusion – Oral cavity cancers were most common which is attributed to higher incidence of tobacco chewing alone or in combinations. Younger males though less but are increasing in numbers due to easy availability of tabacco and other products. Early detection and widespread awareness should be done to overcome such major public health issue.