Background: Like in other developing countries, cancer of cervix is one of the leading malignancies in women in Nepal. In Nepal cervical pap-smear screening is not done my most of woman due to lack of awareness. The objective of this study is to find the prevalence of abnormal cervical epithelial lesions. This was a retrospective study of 396 conventional cervical Pap smears reported from the Department of Pathology, Birat Medical College in Biratnagar, Nepal. The time period was from March 2016 to March 2018. We used Bethesda system to report our all our slides. We used the pap stain to use the slide. All the case was reviewed by consultant pathologist of Birat medical college. Total cases were 396 in two year period in which 396 cases were satisfactory for evaluation and 20 cases were unsatisfactory for evaluation which is due to thick neutrophilic exudates, mucous, degenerative cells and hemorrhage. Out 0f 396 cases 7 cases is ASCUS that is 1.76%,4 cases is LSIL that is 1.01%,3 cases is HSIL that is 0.75%,1 cases is SCC that is 0.25%.Negative for intraepithelial lesion and malignancy is 381 that is 98.21%