Objectives: To assess the diagnostic accuracy, sensitivity and specificity of colposcopy in patients with abnormal cervical cytology and / or unhealthy cervix. Methods: Pap smear screening was done in 500 sexually active women attending the Gynecological OPD at Dayanand Medical College and Hospital, Ludhiana. Colposcopy was performed on 252 women with abnormal cervical cytology or unhealthy cervix or both. Cervical biopsy was taken in 87 cases and the results were compared and statistically analyzed.