The management of the thyroid swelling is a multi–disciplinary approach and it involves the interaction of various branches of medication like a team involving the surgeons, the pathologists and the radiologists (2). The most important issue in the management of palpable thyroid lesions is the diagnostic workup which in turn will determine the modality of management and the extent of thyroidectomy(3) . The approach to the assessment and management of thyroid swellings has been revolutionized in the contemporary days as compared to the past with the introduction of investigations like the Fine Needle Aspiration Cytology (FNAC) (4). There is an ongoing debate as to appropriate evaluation and management of individuals with thyroid lesions. The purpose of this study was to assess the spectrum of diseases affecting thyroid gland by FNAC pre–operatively and comparing it with the post–operative histopathology.