Introduction: FNAC of salivary is simple, easy, cost-effective investigation that can be used to differentiate benign  and malignant lesions. Milan system was introduced to improve the communication between cytopathologists and  physicians. Objectives: To diagnose the salivary gland swelling using fine needle aspirations by Milan system of reporting  and correlate with histopathology. Materials and methods: Total number of 150 cases of salivary gland lesions were studied from September 2020 to  August 2021 in SNMC and HSK hospital. Smears were then stained with H&E, Giemsa and PAP stains. Results: A total 150 patients that underwent FNAC, reported using Milan system of reporting and followed  up with histopathological correlation. Results revealed that FNAC was effective in differentiating benign and  malignant conditions by using Milan system of reporting. Conclusion: FNAC is a safe, reliable and yet economically effective technique in diagnosing salivary gland lesions.  Milan system of reporting is essential to improve the communication between cytopathologists and physicians and  gives universal approach in diagnosis and management of salivary gland lesions. So FNAC with Milan system can  be used as effective pre-operative investigation in patients with salivary gland lesions. Keywords: FNAC, Milan system, Cytopathologist