Majority of the patients with cancer suffer from pain. Various pain measurement scales have been developed to assess pain but none has been fully qualified for all patients. The objective of this study was to assess patient pain scale preference and compare different pain scales namely Numerical Pain Rating scale (NRS), Paisa Scale (PS) and Faces Pain Rating Scale (FRS). We also sought to evaluate there was a relation between education status and the preferred pain scale. Severity of patient’s pain was assessed using NRS, PS and FPS. The pain scale preferred by the patient was also noted. The exercise was repeated twice, after 24 hours and after the consumption of analgesics. A total of 160 patients were included in the study. The mean pain scores measured was 3.70 with NRS, 38.40 with PS and with 3.85 with FRS. We found a good positive correlation between all the 3 scales. The inter class coefficient used to check the validity of the scale in terms of test retest showed a correlation of 0.97 for NRS, 0.95 for PS and 0.94 for FRS. 48.2 % preferred NRS, 31.8% preferred PS and 20 % preferred FPS (p<0.005).Out of the 50 patients who were either illiterate or had only education of primary level, 66% (33 patients) preferred paisa scale and showed a statistical significance (p<0.0001)Numerical and Paisa Scale can be used interchangeably for assessment of pain. Paisa Scale especially can be considered in patients with lower educational status