Introduction: In India, unhealthy cervix is a common finding on per speculum examination and it is recommended to do the cervical cytology to detect any epithelial cell abnormality. Aim: To correlate the finding in 100 women with unhealthy cervix by cytology, colposcopy and colposcopically directed biopsies. Materials and Methods: A total of 100 patients with unhealthy cervices on speculum examination were evaluated bycytology, colposcopy and colposcopicdirected biopsies. Results: The colposcopy was more sensitive (96%) than the cytology (44%) where as its specificity was only 76% compared to 90% on cytology. 60% of the patients with abnormal colposcopy had dysplasia and malignancy on HPE. 63% of the patients with positive cytology had dysplasia on HPE. So, the predictive value of both the tests were comparable. The false negative resultof colposcopy was only 1% compared to 18% for cytology, whereas false positive rates were almost the same for both the tests. Conclusions: Colposcopy in an excellent extended gynecological examination tool for the evaluation.

Keywords: Cytology; Cervix Colposcopy