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INTRODUCTION: Incidence of non neoplastic and neoplastic lesions vary according to different age groups. Early recognition of infections and inflammatory lesions can prevent considerable damage to FGT organs. It also helps to decrease morbidity and mortality. So the current study, is to provide a specific diagnosis based upon the histomorphological study which is of paramount clinical significance in further management of the patient. Despite the new techniques in imaging and genetics, the diagnosis of FGT lesions is primarily dependent upon histological examination. METHOD: The present study "HISTOPATHOLOGICAL STUDY OF SPECTRUM OF NON- NEOPLASTIC FEMALE GENITAL TRACT LESIONS AT TERTIARY CARE HOSPITAL" was conducted in our institution. All specimens of FGT; including Hysterectomy with unilateral or bilateral salpingo- oophorectomy, endocervical & Endometrial biopsies and biopsies from vulva and vagina received in the histopathology department were studied. RESULT: A 1 year study was performed to study histopathological evaluation of non neoplastic lesions of FGT in a tertiary care hospital. A total 172 cases of FGT were received of which 317 specimens were examined. Out of 317 specimens, 243 non- neoplastic lesions were identified histopathologically. Out of 243 non neoplastic lesions, majority of the patients who formed a part of this study were in the 5th decade of life ( 94 cases). Out of total 243 cases of non neoplastic lesions, we encountered maximum lesions of uterus: cervix [124 cases(51.02%)], followed by fallopian tube [46 cases(18.93%)], ovary [43 cases(17.69%)],uterus: corpus [23 cases(9.46%)] and vagina [1 case (0.44%)]. CONCLUSION: ? Chronic cervicitis was the most common lesion seen in uterus:cervix. ? Adenomyosis was found to be the most common non neoplastic lesion of uterus:corpus. ? In the fallopian tube, most common non neoplastic lesion encountered was tubal ectopic pregnancy. ? The most common ovarian non neoplastic lesion in our study was follicular cyst. There were a minimum number of lesions seen in vulva and vagina.