Cervical lymphadenopathy is one of the commonpresenting complaints of patient in surgical OPD (out-patient department). FineNeedle Aspiration Cytology (FNAC) is one of the mostreliable, less expensive, and basic diagnostic procedure forthe definitive and conclusive diagnosis of the immunesystem which presents in the form of enlarged lymphnodes. A study was conducted in surgery Department of Fr. Muller Medical College Hospital, Manipal from May 2011 and March 2013 on 102 patients with enlarged cervical lymphnodes. FNAC was done to make the diagnosis. Out of 102 patients 22.5 % tubercular,57.8%chronic NSL 4.9% Hodgkin’s lymphoma and 14.8 % were malignant. FNACis one of the most dependable diagnostic tools in case ofcervical lymphadenopathy for early diagnosis and detectionfor the better management.