Aim: The purpose of the present research was to compare the conventional with Sidney reporting systems in cases of Lymph node Fine needle aspiration cytology (LN-FNAC). Methodology: This retrospective study was conducted which included smears from LN-FNACs performed over a period of one year. 358 lymph node FNACs along with relevant clinical details were retrieved from cytopathology records and reclassified according to the proposed Sydney System. The smears were allocated into 2 groups, one reported with the help of conventional method, and second with the Sidney reporting system. Results: It was observed that Sidney reporting system was much better than conventional reporting system, where most of the cases were of Category II (224 cases) and least were of Category IV (89 cases). The difference was also statistically significant based on CBNAAT score. Conclusion: The proposed Sydney system of reporting and classification of lymph node cytology can help in achieving uniformity and reproducibility.