Introduction: Lesions of the head and neck region are routinely encountered by clinicians, in patients across all age groups with diagnosis ranging from reactive hyperplasia of lymph nodes to malignancies. FNAC of head and neck is a well accepted technique with high specificity. Aims & Objective: To evaluate the role of FNAC in palpable head and neck lesions and also to study their distribution. To assess the prevalence of different types of palpable head and neck swellings. Materials & Methods: This study is conducted over a period of 5years (2013-2017) retrospectively. Palpable head and neck lesions in all individuals irrespective of age and sex was considered and cases with scanty material was excluded from the study. Results: A total of 2598 cases were studied. There were 1649 females (63.5%) and 949 males (36.5%). In the present study age ranged from 1 year to 88 year. Common age group involved was 30 -39years (513 cases) accounting for 19.8% followed by 501 cases in age group of 40-49 years accounting for 19.2%. Most common site was thyroid (979 cases) constituting 37.7% followed by lymph node (960 cases) constituting 36.9%. Among the thyroid lesions predominant lesions were benign accounting for 25 % (245 cases) [TBSRTC system]. Conclusion: Present study confirmed that FNAC is an excellent first line investigative method, for diagnosis of palpable head and neck swellings.