Background: Hystrectomy specimen is the most commonly recived specimen in pathology department.This study was carried out to identify most common pathologies in hysterectomy specimens & to correlate these findings with clinical presentation. Methods:Total 150 cases were studied in department of pathology, Dr. Ulhas Patil Medical College over a period of 2 year,January 2013 to December 2015. Surgical specimens were fixed in formalin & tissues were adequately processed. Sections were stained routinely with haematoxylin & eosin stain. Result: Most common clinical presentation was pain in abdomen ( 70 cases)followed by menorrhagia (43 cases) & something coming out of vagina (27cases) and white discharge (27cases) whereas least common was polymenorrhagia (16 cases) followed by post menopausal bleeding (8 cases), dysmenorrhoea (6cases) & irregular bleeding (2cases). Commonest age group at presentation was fourth decade(4150years) 67 cases(44.67%). Next group was third decade (3140years) 54 cases(36%). Only 2cases(1.33%)were seenin seventh decade. Pathologic examination was confirmed the clinical diagnosis in majority of patients. Conclusion: Hysterectomy still remains widely used treatment modality in developing countries. Every specimen of hysterectomy should be subjected for routine histopatholgy for final diagnosis & management of disease of uterus.

Keyword: Adenomyosis; Dysfunctional Uterine Bleeding (DUB); Endometrial Hyperplasia; Hysterectomy; Leiomyoma.