Fine needle aspiration cytology is a fast and easy method for diagnosing any accessible lesion. The majority of head and neck mass are usually superficial and easily accessible to needle biopsy. The study was undertaken to evaluate the diagnostic accuracy of FNAC in palpable lesions of head and neck along with an analysis of age, sex, anatomical site of distribution and histopathological correlation. It was an institution based descriptive study with cross-sectional design. The study was conducted in the Department of Pathology, Bankura Sammilani Medical College, Bankura, West Bengal. A total of 3670 patients were included in the study. A brief history and physical examination was taken from the patients. FNAC smears were stained with Leishman-Geimsa and Papaniculaou stain. Zeihl-Neelsen stain was done in suspected cases of tuberculosis. Surgically excised specimens were available in 142 cases, which were processed and stained with Hematoxylin and Eosin stain. Majority age group was 21-40 years and male to female ratio was 1ː 1.2. The site of lesion were distributed according –Lymphnode (46.83%), Thyroid (30.5%), Salivary glands (6.64%), and Miscellaneous (16.02%). Histopathological correlation was done in 142 cases and overall accuracy rate of FNAC was 90.14% with sensitivity of 92.8% and specificity of 86.66%. Positive predictive value and negative predictive value were 90.47% and 89.65% respectively. Palpable lesions of head and neck are readily accessible for FNAC, which aid in our diagnosis and hence proper treatment and management of the patient. Supplementation by a histological diagnosis often comes as an additional boon especially in suspicious and malignant cases.