Background: Breaking bad news (BBN) to patients and their families is one of the most difficult tasks health professionals can face. The way bad news are communicated has a big impact on everyone involved: patient, their relatives and health professionals.Objective: To evaluate Doctor’s Perception & Skills in breaking bad news using SPIKES Model. And to identify the Socio-demographic factors associated with evaluation of Doctor’s Perception & Skills in breaking bad news using SPIKES Model.Methods: A cross sectional descriptive study was carried out among 413 doctors of Institutional Hospital Dr ShankarraoChavan Government Medical College & Private Hospital’s in Nanded city. Predesigned & Pretested Questionnaire which consisting of Personal data, & Environment support question, Psychical support question & Personal question was used.Results: The mean age of the study participants was 38.43±9.72 years. There was statistically significant association between gender and responses to Questionnaire like “I highlight the importance of the issues before telling the details” & “I deliver bad news as soon as they are aware from their illness” &“ I choose a time that relative feels comfortable” & “I sit beside them, not at my table” , Also between age &responses to Questionnaire like “I highlight the importance of the issues before telling the details” & “I deliver bad news as soon as they are aware from their illness” & “ I choose a time that relative feels comfortable” & “I wear my medicine coat” & “I ask secretary to hold my Phone calls” & “I switch off my cell phone & pager” , Also between Education &responses to Questionnaire like “I choose a private location” & “ I choose a time that relative feels comfortable” & “I wear my medicine coat”.Conclusion: Present study concluded that the knowledge, perception & essential communication skills required for breaking bad news among doctors are adequate, but still there is scope for improvement with regards to perception, counselling & communication skills & training aspects for breaking the bad news. The present study strongly highlighted the need for more practical measures to improve these essential skills. Also, further planned studies are required to find out deficiencies and improvement in these domain.