Aim: To evaluate the efficacy of strain sonoelastography in inflammatorylesions and benign tumours of parotid and submandibular glands. Materials and Method: Twenty five patients with parotid and/or submandibular gland swellings were incorporated in the study. Ultrasonography and sonoelastography was carried out in all the patients. In inflammatory lesions, medicinal treatment protocol was followed after imaging, whereas in benign lesions histopathological correlation was done for the final diagnosis. Results: Sonoelastography showed significant correlation between the clinical palpation of the lesion and significant difference between the mean strain ratio and elastographic score between inflammatory and benign lesions. Conclusion: Sonoelastography can be used along with gray scale ultrasonography as a primary investigative modality in diagnosising parotid and submandibular gland swellings.