Background: Worldwide cervical cancer is the second most prevalent cancer in women in frequency. India is the second most populous country in the world accounts for 27%of the total cervical cancer deaths. Pap smear is an effective, easy and less invasive screening procedure for cervical cancer. Methods: This retrospective study includes total 500 smears collected from patients presented to gynecology OPD. Results: Out of 500 smears, 55% were normal, 30.45% reactive, 2% atypical squamous cells of undetermined significance ( ASCUS), 4.4 % Low grade squamous intraepithelial lesion (LSIL), 1.4% high grade squamous intraepithelial lesion (HSIL), 0.4% SCC and 6.4% atrophic smear. Conclusion: Cytology remains the most safe and simple method for early detection for cervical cancer and its precursors. Because the progression from dysplasia to invasive carcinoma is slow, more frequent screening appears to offer an effective way of detecting these changes early.