Introduction: FNAC of thyroid gland is the primary investigation done on the OPD basis in the patients with thyroid swellings. Aimsandadjectives: To evaluate the role of FNAC in the thyroid swellings and categorize the lesion according to the Bethesda system of reporting thyroid cytopathology. MaterialandMethods: This study was conducted in the department of pathology in tertiary care center in the pir panjal region. 160 aspirations were done from thyroid during this study period from 2019 to 2021. Results: There was overall female preponderance seen. There were 130 females and 30 males in the study. The cases in category-I were 22 (13.75%), category-II were 114 (71.25%), Category-III were2(1.25%), Category-IV were 6(3.75%), Category-V were 8(5%) and Category- VI were 8(5%) cases. Conclusion: The Bethesda system of reporting thyroid cytopathology is very helpfulfor guiding the clinician to correctly manage the thyroid lesions. Unnecessary surgeries can be avoided.