Mature cataract is a leading cause of preventable blindness over the globe. Complications include secondary lens-induced glaucoma and ultimately loss of vision if left untreated. Lens leakage and enlarged lens size causes blockage of irido-corneal angle that disturbs the aqueous outflow and leads to increased intra ocular pressure. The objective is to access the barriers among patients for cataract extraction presenting in LRBT hospital, Lahore. A cross-sectional study was conducted in LRBT hospital, Lahore between March and June 2021. It includes sample of rural and urban population visiting the hospital of age above 50. Questionnaire consisting of problems assessing the knowledge about cataract, willingness for cataract extractions and barriers for cataract extraction were used. Out of 313 patients,154(49.0%) were males and 159 (50.26%) were females. 76(24.2%) patients had cataract diagnosed 1 year ago, 74(23.6%) patients were diagnosed more than 1 year, 67(21.3%) patients were diagnosed 2 years or before and 31(9.9%) were diagnosed 5 years or before. Out of 313 patients, 136(43.3%) patients were willing for cataract extraction and 177(56.4%) patients were not willing for cataract extraction. Out of 313 patients, 117(37.3%) were aware of complications of cataract if left untreated and 196(62.4%) were not aware. 29(9.2%) patients were guided by physician, 36(11.5%) patients were aware bysocial media, 36(11.5%) were guided by their relatives and 26(8.3%) patients were taught by community health workers. Out of 313 patients, 67(21.3%)were not willing for cataract extraction due to cost of surgery, 58(18.5%) patients were phobic to surgery, 132(42%) had no knowledge about complications of cataract and 56(17.8%) claim they don’t need surgery as they can perform daily visual tasks easily. People visiting the hospital diagnosed with cataract age above 50 possessed poor knowledge about complications of cataract if it left untreated and their willingness for cataract extraction was poor due to barriers.