The cervix is the most common site for genital tract infections and a target for viral, chemical carcinogens, which leads to invasive carcinoma. Infections are the most common complaints in gynecological practice. With the advent of new drugs for infectious diseases, the emphasis has moved to chronic diseases such as malignant diseases which are becoming important cause of death. The objective of this study was to compare the visual inspection of acetic acid test qualities with Pap smear and biopsy. Out of 500 cases, majority of the cases (232) were Negative for Intra-epithelial lesion or malignancy (NILM), 126 cases were normal smears, 16 cases were Atypical Squamous Cells of Undetermined Significance (ASCUS), 75 cases were Low-grade Squamous Intra-epithelial Lesion (LSIL), 37 cases were High-grade Squamous Intra-epithelial Lesion (HSIL), 14 were carcinoma of the cervix. Pap smears are required not only for the diagnosis and management of the malignant lesions but it is also helpful in identifying the infectious etiologies and treatment in developing countries. They need to be correlated with histopathology for further management. In developing countries, where it is not feasible to introduce pap smear screening of acceptable quality, VIA is alternative low cost method for cervical screening.