Background: Fine Needle Aspiration Cytology (FNAC) is simple, rapid, cost effective and reliable technique which can be used as a routine outpatient department (OPD) procedure and first line of investigation in diagnosing a variety of superficial and deep lesions (USG or CT Guided). Lymphadenopathy is of great clinical significance and the underlying cause may range from infectious etiology to malignant neoplasms. In this study, we describe the diagnostic utility of FNAC in the diagnosis of lymph node lesions with an emphasis on the diagnosis of non-neoplastic, benign and malignant neoplastic lymp node lesions.