Background: Among communicable diseases, Leprosy remains a leading cause of peripheral neuropathy and disability worldwide. Disabilities and deformities are of major concern as it triggers social, economic and psychosocial problems of leprosy patients. Objectives: To detect deformities and disabilities of limb in leprosy patients and grading them according to WHO deformity and disability grading system (2007). Materials & Methods: It was a hospital-based, cross sectional study. One hundred and forty six patients with leprosy attending the Dermatology, Venereology and Leprosy outpatient department were included in the study. All patients were examined for all kinds of deformities of hands, feet and face. Slit skin smear and biopsy was done in all new cases