Introduction: Cervical cancer is change in the cells of cervix which occurs gradually leading to various conditions ranging from benign to malignant conditions. It is the major health problem faced by women of India which commonly affects the women in reproductive age. It is the third largest cause of mortality in Indian women and accounts for one fifth of the total world burden of cervical cancer.Aims and Objectives: To study prevalence of various types of lesions in cervical Pap smear cytology and correlate the changes observed in cervical Pap smear cytology with histopathology, wherever indicated in Himachali women.Materials and Methods: This was a cross sectional study done on 500 women from the OPD of Obstetrics and Gynaecology. The cytology smears were reported according to the 2014 Bethesda system and was correlated histopathologically where ever needed.Results: In our study of 500 patients, maximum number of participants were in the age group of 31-40 yrs and had no history of chronic vaginal infection. Majority of the smears were normal followed by inflammation. Cyto-histological correlation was done on 50 cases, among which 2 cases were of HSIL, 2 cases of SCC and incidental finding of cervical carcinoma on endometrial curettage.Conclusion: It was concluded that conventional Pap smear along with biopsy are best tool for cervical screening. More screening programs must be organized for maximum participation.