Abstract : Cervical lymphadenopathy is one of the commonest presentation in inflammatory and non-neoplastic disorders. FNAC is simple, quick, inexpensive and minimally invasive OPD technique used for establishing the etiology of cervical lymphadenopathy. To study the cytomorphological spectrum of lesions in cervical lymph nodes in a tertiary care centre. All the FNAC done on cervical lymphnodes in the Department of pathology, SIMS, Shivamogga for cytological evaluation during the study period. Cross sectional, descriptive study. Oct 2018 to Sept 2019 One year. 150 cases. Clinical data will be obtained from the hospital records and cytopathology requisition forms submitted with the tissue specimens to the Department of Pathology. Respective H & E slides will be retrieved from archive and reviewed. Descriptive statistics will be done using Microsoft excel. All the FNAC done on cervical lymph nodes in the study period. The female gender was predominant 84(56%) cases out of 150 FNA evaluation among the patients who underwent FNA evaluation of lymph node. Majority of the patients between 20-40 yes. Reactive lymph node was the predominant diagnosis 60(40%) cases out of 150 FNA evaluation). Granulomatous lymphadenitis was the second most common diagnosis (32%) 49 cases out of 150 FNA evaluation. FNAC is a useful preliminary diagnostic procedure in patients presenting with lymphadenopathy. FNAC can help to rule out a malignant lesion. This can hence afford as a cost-effective method in diagnosing lymph node lesion and also due to its high tolerability and high diagnostic accuracy the patient need not be subjected to further evaluation which helps in the psychological and well-being of patient.