Background: Filariasis is a vector-borne neglected tropical disease, most commonly caused by Wuchereria bancrofti. Chronic lymphatic filariasis in males usually presents as scrotal swelling with hydrocoele, although, a variety of other genital manifestations can also be seen. This study was undertaken to establish the clinicopathological spectrum of chronic filarial epididymo-orchitis (FEO) in a tertiary care institution in India.Methods: Cross-sectional observational study spanning a retrospective period of 17 years from 2000-2017.