Background & Objectives: Thyroid malignancy constitutes about 1 % of all organ malignancies and approximately 1530 people die of thyroid cancer each year1. This study was conducted with aim of clinical evaluation of thyroid swellings in Rajasthan(North India). Results: The highest incidences (62%) of thyroid enlargements were found in age group of 20-40 years. The extremes of ages comprises of a few cases only. Females predominated in this study 87%, ratio being 7:1. Majority (40%) of patients came with complaint of swelling of duration less than 6 months. Most common site of pathology was seen in right lobe 48%. Grave's disease was found in 4% patients.