Objective(s): To compare the sensitivity and specificity of pap smear test and VIA used for screening and diagnosis of cervical preinvasive lesions keeping colposcopy directed cervical biopsy as the gold standard. Material And Method(s): Place and period of study-GMH, SSMC, Rewa from April 2007 to September 2008. Inclusion Criteria- 200 women above 18 years of age with varied parity and socioeconomic status who had suggestive history and clinical suspicion were subjected to Pap smear test and visual inspection of cervix after acetic acid (VIA) application. All patients were subjected to colposcopy directed cervical biopsy was done in cases with abnormal areas on colposcopy.