There are various testicular and para testicular lesions occurring in different age groups. Testicular and para testicular lesions are categorized under non–neoplastic and neoplastic lesions. Despite new techniques in imaging and tumor marker assay the diagnosis of testicular and para testicular lesions are primarily dependent upon histopathological examination. Thus present study enlightens the importance of histopathological examination for the diagnosis and effective management of testicular and paratesticular lesions.