Introduction: In the past, FNAC was mostly utilized for evaluating surgical entities such palpable breast lesions and head and neck lesions. But as more and more conservative surgical excisions and biopsies are performed, the scope of FNAC has recently broadened to include a variety of skin and subcutaneous swellings. Although excision biopsy with histopathological examination is still regarded as an important diagnostic tool and confirmatory test for most lesions, FNAC is a fast, simple, and reasonably priced diagnostic procedure that provides a nearly correct diagnosis in ruling out benign and malignant lesions. Aim: To determine the utility of fine needle aspiration cytology (FNAC) in the diagnosis of cutaneous and subcutaneous swellings. Material and methods: The current retrospective study was carried out over a period of one year at the Govt. Medical College, Udhampur, in the Department of Pathology and a total of 131 patients with diverse skin and subcutaneous swellings were evaluated cytologically (FNAC). The data was gathered using a structured clinical proforma and enteredinto Microsoft Excel sheet. SPSS (Statistical Package for the Social Sciences, SPSS Inc., v.16) was used to do the statistical analysis. Results: There were 61 (46.5%) females and 70 (53.5%) males in total in this study. The study patient population ranged in age from 8 to 85 years old, with a mean age of 38.02±16.70 years. The youngest patient was eight years old. FNAC aspirate showed that the whitish aspirate was the most common type (44.3%). Conclusion: Benign lipomatous lesion was the most common diagnosis followed by benign spindle cell lesions. The use of FNAC is very cost effective and helpful in evaluation of skin and subcutaneous swellings.