ABSTRACT: Tobacco use is one of the most important risk factors for the development of oral mucosal lesions including oral pre-cancer and cancer. The type and location of the lesion varies with the type of tobacco used, the way it is used, and the frequency and duration of use. Hence our study is aimed to determine the effectiveness of anti-tobacco counselling and the presence of oral lesions in patients and their willingness to quit the habit. A retrospective analysis was conducted among 398 participants, of which all were smokers, 320 patients diagnosed with oral mucosal lesions, 78 patients without any lesions. The study protocol included data collection with digital software entry. Statistical analysis was done using SPSS version 22 and a chi-square test was employed, with a p value < 0.05 considered to be statistically significant. The lesion was most common among the age of 31-40years (33.33%), followed by 41-50years (26.92%), 18-30years (20.5%), 51-60years (12.8%) and >60% (6.4%). The review was high among the patients with oral lesion (57.6%), anyways patient with lesion and did not turn up for review is 42.3%. The study population diagnosed with oral mucosal lesion and who had come for review visits had the highest willingness for quit rate (62.7%), than with patients only came for intervention visit (37.2%).