Introduction: Hysterectomy is a major gynaecological procedure for the removal of the uterus with or without adnexal structures.Hence the aim of the study was to find out the efficacy of clinical and USG findings in diagnosing gynecological disorders, by correlating it with histopathological examination of specimens; so that check out validity of indicated cases are taken up for hysterectomy. Materials & Methods: The retrospective study analysis of the hysterectomy cases was performed. The hysterectomy performed for various indications over a period of one year were enrolled in the study. The patient’s age, parity, clinical presentation, examination findings, clinical & ultrasonography findings and mode of surgeries were noted. The clinical and radiological findings of all patients were correlated with per operative findings. After surgery, all specimens of hysterectomies sent for histopathological examination in pathology department. Results: Total of 400 patients was included in the study with age range from 35 to 75 years. The major chief complain of patients undergoing hysterectomies was menorrhagia in around 66.5% of study population. The most common findings on ultrasonography were found was fibroid uterus present in around 43.5% of the patients.