Metabolic syndrome (MetS) is a cluster of metabolic problem like central obesity, high blood pressure, high blood sugar, high triglycerides, and poor high-density lipoprotein cholesterol which serves as risk for cardiovascular diseases like stroke and heart attack. It is considered that body mass index (BMI), waist circumference (WC), waist-hip ratio (WHpR), and waist-height ratio (WHtR) are the anthropometric measures that can be used to diagnose metabolic syndrome. Aim and Objective: The aim of the study to evaluate the role of neck circumference and neck height ratio as an independent predictors of metabolic syndrome. The objective of the study was to describe the neck circumference and neck height ratio in the population age between 30-50years and to correlate the role of neck circumference and neck height ratio in metabolic syndrome. Materials and Methods: A cross sectional study was done among 193 patients who fit into the eligibility criteria, neck circumference and neck height ratio were measured in the medicine department. Baseline characteristics along with the details of risk factors were collected. Results: Of the 193 study participants 110 (57%) were female and the overall mean age was found to be39.9±5.98 years. 67.36% were found to have central obesity based on waist circumference and only 28.49% had normal BMI. 125(64.77%) had MetS. The BMI, neck circumference, neck height ratio, waist circumference were all higher in the group with MetS compared to no Mets group and was highly significant (<0.0001). The individuals in the highest tertile of neck circumference had significantly higher central obesity and were significantly more likely to be overweight and obese (p value <0.0001). The presence of MetS which was found to be highly significant in the highest tertile of neck circumference.