Introduction: Neck swelling is a common presentation seen in clinical practice. A wide spectrum of pathological lesions can be presented in this form. It ranges from simple benign lesions to highly malignant ones. An attempt was made to correlate clinical presentation, sociodemographic factors and histopathological diagnosis of such masses. Aims and objectives: To know the incidence of various types of masses of the Neck region & to understand the sociodemographic pattern in different neck masses. Methodology: This was a cross-sectional study and was carried out in the ENT department of tertiary care teaching hospital at Patna. Each patient attending the OPD ENT with complaints of neck swelling underwent a complete examination that included a Otorhinolaryngological evaluation in addition to a full history, socio-demographic details and physical examination. Results: A total of 105 patients were enrolled in the study out of which 60% were females and 40 % were males. Among total cases maximum (31.4%) were cancerous, 25.7% were thyroid lesions, 22.8% were benign and 20% were tuberculous. Young age, female gender and middle socioeconomic class was found to be associated with all the neck masses.