Cervical epithelium is prone for many diseases ranging from simple inflammatory lesions to malignancy. Cervical carcinoma is the second most common cancer among women which cause higher mortality. The most common age group is around 50 years and above. Thus identifying the cervical lesions and assessing its incidence in particular geographical area helps in acquiring adequate knowledge about the prevalence of disease and it helps to take preventive measures, early diagnosis and treatment. Aims and Objectives: 1. To identify the spectrum of cervical lesions in a tertiary care hospital with respect to age group. Materials and Methods: The samples were collected from the cervical biopsy specimen sent to histopathology laboratory of Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry. Study period: One year from January 2022 to December 2022. Results: Out of 265 cervical lesions, the most common lesions are chronic non specific cervicitis(196) followed by CIN I(13), CIN II(29), endocervical polyp(19) and then cervical carcinoma(8). The most common age group affected with cervical carcinoma are 50-70 years. Conclusion: This study shows spectrum of cervical lesions prevailing in this area and also helps to identify the vulnerable age group to various cervical lesions