Background: Cervical cancer is the most common cancer among women in India. With the Papanicolaou smear method of screening, the incidence and mortality of cervical cancer has dramatically decreased. Recently the Bethesda System (TBS) 2014 for reporting the results of cervical cytology was developed with introduction of some newer terminology that could provide clear guidance for clinical management. Objectives: To correlate cervical cytology smears with histopathological diagnoses and to emphasize the importance of 2014 Bethesda system. Methods: This is a study done from Jan2017 to Dec2018. The pap smears received were evaluated and reported according to 2014 Bethesda system for reporting cervical cytology. The corresponding cervical biopsy and hysterectomy specimens received were correlated. RESULTS: In our study, we received 592 pap smears for a period of 2 years, 58-unstatisfactory, 453-NILM, 33-ASCUS, 18-LSIL, 7-ASC-H, 15-HSIL, 6-SCC & 2-AGUS. Histopathology correlation was found in 165 cases. The rate of concordance and discordance was 52.7% and 47.3% respectively. Conclusion: Histopathology is the gold standard in making definitive diagnosis in biopsies. But cervical cytology remains and important component of cancer screening program.