Background: Cervical lymphadenopathy is commonly seen in surgical practice, tuberculous lymphadenopathy is most commonest cause of cervical lymphadenopathy ,the aim of study is to know the overall various diseases responsible for cervical lymphadenopathy. Methods: Study was carried out by prospectively collected 420 cases of chronic cervical lymphadenopathy from the Department of General Surgery Al Ameen medical college ,Vijayapura Karnataka. Results: Cervical Lymphadenopathy is more common below 30 years of age with 68.88%. Most of the patients of cervical lymphadenopathy in our study belong to the poor socio-economical class.Cases in this study presented with swelling in the cervical region, 214(51%). Conclusion: Tuberculous adenitis reactive lymphadenitis, Malignancy (primary and metastatic) & drugs were other causes responsible for cervical lymphadenopathy.