Background: Eyelid lesions are commonly encountered in histopathology practice and wide variety of lesions .We reported histological features of eyelid lesions in patients presenting to tertiary care centre in RIMS, Srikakulam, Andhra Pradesh. Materials And Methods: It is a retrospective study was conducted in our hospital, which included a total of 40 eyelid lesions over a period of 2 years i.e. from January 2016 to December 2017.Results: In this study we received unequal representation of male and female patients with a ratio of 1:1.5.Age of the patients ranged from 16 years to 72 years with mean age being 40–45 years. Most common benign lesion was intradermal nevus followed by chalazion while the most common malignant lesion was Meibomian carcinoma followed by squamous cell carcinoma. Conclusion: Eyelid lesions were common in females. Intradermal nevus and chalazion were commonest benign lesions and Meibomian carcinoma was most common malignant tumor.