Globally cervical cancers affect about 15% of the women and are the second most common cancer among female population. A dramatic reduction has been observed in the incidence and mortality of cervical cancer after the introduction of Pap test. This study was carried out to assess the role of pap test in cervical cytology and to determine the prevalence of various lesions. This cross sectional study was carried out among 400 patients who attended Gynaecology. Out Patient department. Smears were taken from female patients in the age group of 30-60years with complaints like frothy white discharge, post-coital bleeding, intermenstrual bleeding, dyspaerunia and lower abdominal pain. After fixation in 95% alcohol and staining, each smear was carefully examined. The cytological smears were made by staining under Papanicolaou’s technique and interpreted using new 2001 Bethesda system. Although majority of the smears were negative for any intraepithelial lesion or malignancy, (87.3%), inflammation was present in 69.7% of the smears and 62.5% showed non specifc inflammation. In addition, 28(7.0%) showed candida infection and 1(0.25%) had evidence of Trichomonas infection. Pap test continues to be an essential screening tool to detect early cervical lesions. In addition, it pap test is useful in highlighting the significance of screening test in women of both reproductive and postmenopausal age groups.