Aim: To evaluate the exactness of Pap smear and colposcopy as measure of cervical histopathology in patients undergoing total hysterectomy for benign indications, and to determine the incidence of unforeseen cervical pathology in these patients. Study Design: Prospective observational study. Patients and Methods: Ninty seven women planned for total hysterectomy for benign indications were subjected to preoperative Pap smear and colposcopy, at Index Medical College Hospital and Research Centre, Indore amid the period from September 2023 to March 2024. Discoveries were compared with the histopathology results of the cervices of the hysterectomy specimens. Results: Out of 97 patients included in our study, 12 had an abnormal Pap smear and 46 had abnormal findings on colposcopy. Abnormal cervical pathology was found in 32 hysterectomy specimens. Pap smear had a sensitivity and specificity of 34.3% and 96.7%, respectively, while colposcopy had a sensitivity and specificity of 97.7% and 74.6%, respectively. The incidence of unforeseen cervical pathology was 65.7% depending on the Pap alone, and 2.3% when depending on colposcopy. Conclusion: Pap smear has a good specificity, but a low sensitivity in anticipating cervical histopathology. For the time being, colposcopy has elevated sensitivity and a reasonable specificity in foreseeing the histopathology. Colposcopy has a elevtaed sensitivity and specificity as a pathology prognosticator, when compared to Pap smear.