Cervical cancer is a preventable malignancy, yet every year over 530,000 women are diagnosed with and over 275,000 women die from the disease worldwide. The distribution of cases and deaths is commoner in low and middle income countries, which have 86% of the global cases and 88% of the total deaths. The bethesda system aims to simplify cervical smear reporting and make it more reproducible and facilitates the communication between pathologist & gynecologist. The Bethesda system is of validity in providing a uniform format for cervical cytology report, which is intended to communicate clinically relevant information using standardized terminology.