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Introduction: Cervical cancer is the easiest gynecologic cancer to be prevented and diagnosed using regular screening tests and follow-up and the conventional cytology test can detect pre-cancerous and cancerous cells in uterine cervix. The main objective of the study is to analysis various spectrum of cytopathological abnormalities of both symptomatic and asympto matic wo men and also to determine the possible association of this abnormality with risk factors and to address the need for cancer screening programs in Iraq. Methods: A retrospective study of all cervical s mears received and processed at the Department of Pathology, AL-Alwiya Teaching Hospital, between January 2018 and December 2019.Those with inadequate data were excluded from the study. Classification was by the Bethesda system and analysis was by simple statistical methods. Results: A total of 1096 wo men were enrolled in this study, 71.9% of wo men had normal cytology, and 28.1% of wo men had abnormal cytology, the prevalence of abnormal cytology not association with any studied risk factors (age, age at marriage, HPV in fection, parity, duration of hormonal contraception use, smoking habit) . Conclusion: Screening for cervical cancer would assist in early diagnosis and treatment of such cancer who are not exposed to risk factors.