Purpose of the study: This study was undertaken to evaluate histopathological spectrum of endometrial cancer in women undergoing surgery for carcinoma endometrium in a tertiary hospital in South India for a period of 5 years (2007-2012). Design: It is retrospective study. Setting: This study was revive of medical records in the Department of Obstetrics and Gynaecology in collaboration with the Department of medical record section, JIPMER, Pondicherry, India, from January 2007 to December 2012. Population: The subjects included 121 women who underwent surgery for carcinoma endometrium during the study period. Materials and Methods: The medical records of all patients who underwent surgery for carcinoma endometrium were revived. Stage of the disease, surgery performed, co-existing risk factors like diabetes, hypertension and obesity, prophylactic antibiotics, intra operative and postoperative studied. Main outcome measures: Out of the 121 women who underwent surgery for endometrial carcinoma, majority 47 (39%) of them were in the age group of 51-60 years. Majority of women (94%) presented with postmenopausal bleeding. All 121 patients underwent extrafascial hysterectomy and bilateral salpingooopherectomy. Surgicopathological staging showed majority early stage. Mean duration of hospitalization was 14 days and 66 patients received postoperative radiotherapy. Results: In our study majority were endometriod adenocarcinoma (91.74%), followed by serous carcinoma (4.13%) and mixed cell carcinoma (1.65%) with least being leomyosarcoma (0.83%). Complex atypical hyperplasia was present in 0ne patient (0.83%). Conclusion: Endometriod adenocarcinoma is most common histopathological type of carcinoma endometrium in south India