Introduction: Worldwide cervical cancer is the fourth most common malignancy and the second most common malignancy in India. The objective of this study is to identify and analyse abnormal pap smear cytology among women attending gynaecological OPD with various complaints. Material and method: This retrospective study was conducted in 850 women attending gynaecological OPD at Alluri Sitarama Raju Academy of Medical Sciences, Eluru from January 2019 to June 2019. Pap smear test was done in women aged 21 –65 years and reported according to Bethesda system 2014. Results: Out of 850 women, 295 had inflammatory smear, 40 had ASCUS, 33 had LSIL, 26 with nonspecific findings, 12 had HSIL, 7 had ASC–H, 4 had squamous cell carcinoma and 1 had glandular cell abnormality. Conclusion: Cervical cancer is the most common malignancy for which screening with pap smear is advised. Pap smear is easy and economical and if done every 3 years as per guidelines, reduces incidence of mortality due to cervical cancer. It aids in timely treatment by detecting the premalignant and malignant lesions. Treatment of precursors and early–stage disease can prevent the development of invasive cervical cancer and reduce cervical cancer mortality.