Thyroid swellings are routinely encountered cases in clinical practice particularly among Asian countries as iodine deficiency plays a crucial etiological role in predominant cases of non neoplastic lesions. Thyroid swelling creates a major socioeconomic and health problem as they present as asymptomatic nodules many a times as firm swellings or as soft cystic in consistency masses. Thyroid gland lesions presents a large variety of pathological lesions. Incidence of non neoplastic lesions are more common than neoplastic lesions. Present study aims to know the spectrum of presentation of these non neoplastic lesions of thyroid. Materials and Methods: In the present study the data was analysed and a total of 209 cases of non neoplastic lesions of thyroid were studied. The study was carried out in the Department of Pathology of an Autonomous institute Government Medical college and hospital (RIMS), Raichur, India, for a period of 3 years with 2 years of retrospective and 1 year of prospective study respectively. Results: In the present study results collected were analysed and portrayed that out of 209 cases, higher incidence of Non neoplastic lesions were noted in 3 rd decade and 4th decade of life, predominant number of the patients were diagnosed in females with 68.8% and when data was analysed, which showed that the female to male ratio was 2.3:1. Colloid goiter formed the major non neoplastic lesions having a total of 110 cases with 52.63% indicating more than half of the cases were colloid goitre, and was the most common non neoplastic lesion diagnosed histopathologically, next in line was multinodular goitre which was diagnosed in 82 cases having 39.23% of share, hashimoto's thyroiditis was diagnosed in 10 individuals which constituted 4.79% of the total cases. Study also tabulated adenomatous hyperplasia with 3.35% of population which were associated with colloid goiter and multinodular goiter. Conclusion: Non neoplastic lesions of thyroid have varied clinical presentation and confirmation of these thyroid lesions can be done by histopathological study in correlation with clinical presentation. Present study is intended to evaluate the incidence and categorise histopathologically the types of non neoplastic lesions of the thyroid in this region.