Background-A pre-operative suggestion of malignancy can guide the gynecologist to refer women with suspected pelvic mass to a trained gynecological oncologist for appropriate therapy and optimized treatment, which is known to improve survival. This study was therefore conducted to evaluate the role of clinical findings in predicting the nature of the ovarian tumor. Methodology-This study was conducted as an observational study on patients presenting with ovarian masses at tertiary care center, Rohtak during the study period of 12 months (1st April 2020 to 31st March 2021). All the patients were subjected to detailed history taking and perabdominal and bimanual examination along with necessary investigations. Histopathological and FNAC assessment was done for operable and inoperable cases respectively. Results-This study included 40 cases with ovarian masses with mean age of 48.85±15.43 years. Clinical diagnosis based on combined per-abdominal and bimanual examination showed benign ovarian mass in 40% and malignant ovarian mass in 60% women. Majority of ovarian masses were malignant (65%) on histopathology/FNAC. We found a significant association of malignant ovarian masses on histopathological examination with age advancing age and postmenopausal status (p<0.05). The sensitivity of clinical diagnosis was 66.6% (95% C.I. 60%-72%), specificity was 90.9% (95% C.I. 88%-94%), positive predictive value was 85.7% and negative predictive value was 76.9%. Conclusions-Clinical examination including abdominal and bimanual examination of women with ovarian mass play a significant role in diagnosing ovarian tumors and also in differentiating benign and malignant pathology. Histopathological diagnosis remains the gold standard method, however, preoperative timely detection of ovarian malignancy is an important factor which affects the survival of patient significantly.