Aims and objectives: • To find out the relative incidence of various pathological conditions presenting as Posterior triangle neck swellings. • Clinico-pathological and radiological examination of the swellings wherever required. Material and methods: The study was carried out in ENT department of MMIMSR w.e.f 2014 - 2016. The sample size comprised 25 patients with Posterior triangle neck swellings. Detailed history and examination was carried out in all the patients. Relevant specific investigations like cytological examination (FNAC), histopathological examination (BIOPSY) and radiological investigations (ultrasound and CT) were done wherever necessary. Results: Out of 25 cases presenting as Posterior Triangle Neck Swellings, 18 turned out to be neoplastic (72%), of which 2 were benign while rest were malignant. The benign Posterior Triangle Neck masses comprised lymphangioma/cystic hygroma (n=2) whereas, malignant nodes constituted most of the neoplastic neck swellings, out of which all cases were comprised of secondary metastasis seen in 88.8%. Non neoplastic Posterior Triangle Neck Swellings, constituted 7 cases (28%). Tubercular pathology was found in all the cases (28%). Conclusion: 1. The most common cause of posterior triangle neck swellings above the age of 50 years was the metastatic neck node 2. Following the malignant pathology, the commonest benign (non neoplastic) cause came out to be tubercular lymphadenopathy which was frequently seen in patients below the fifth decade of life. Whereas, Cystic hygroma was the most common benign (Neoplastic) pathology in posterior triangle seen in a paediatric age group.