Background:To establish a connection between the identification of an unhealthy cervix through Visual Inspection with Acetic Acid (VIA), colposcopy, and Pap smear results. Methods: This research is conducted within a hospital setting, focusing on women aged 20 to 65 exhibiting abnormal symptoms and clinical indications of an unhealthy cervix. The study is conducted in the Department of Obstetrics & Gynaecology, and ethical approval has been secured from the institution to ensure adherence to ethical standards.Results:The Pap smear exhibited a sensitivity of 34% and specificity of 94%. In contrast, colposcopy demonstrated high sensitivity (92%) but low specificity (28%). Meanwhile, Visual Inspection with Acetic Acid (VIA) and Visual Inspection with Lugol's Iodine (VILI) yielded comparable sensitivity and specificity, with VIA at 64% and 68%, and VILI at 42% and 40%, respectively. Despite its lower sensitivity, Pap smear showed a notably high positive predictive value of 85%, surpassing colposcopy (56.1%) and visual inspection methods (55%). Notably, colposcopy alone demonstrated the highest diagnostic accuracy at 65%, outperforming other screening methods conducted independently or in combination.Conclusion:The recommended approach involves a combination of Pap smear, a screening test, and colposcopic examination reserved for suspected cases. Should any abnormal findings emerge, a colposcopic directed biopsy is advisable. The integration of these methods is essential as it consistently enhances sensitivity, thereby maximizing the overall detection rate.