Cervical cancer is the second most cited reason for cancer death which is largely preventable. In developing countries, nearly 80% of the detection of cervical cancers occurs at advanced stage which demands a cost effective approach which is applicable for mass approach for effective cervical cancer screening programs. Various tools for screening and assessment have been developed which includes colposcopy, the Pap smear and VIA.Hence this study was designed to evaluate the efficacy between these screening methods in screening for cervical cancer. This prospective study 100 women of age group between 20-70 years of age group attending the gynecology department, Vinayaka Mission’s Medical College, Karaikal from November 2019 to June 2021 for the duration of 18 months. Sexually active and non-pregnant woman with no active disease of cervix, no history of cervical conisation, cryo or other invasive cervical cancer treatment, patients with no history of pre invasive lesions, patients with no history of cervical cancer are included in study