Objectives: To compare conventional cervical cytology in women with healthy/unhealthy looking cervix. Methods: A prospective study on conventional cervical cytology was performed including 340 women, 174 with healthy looking cervix, 160 with unhealthy looking cervix and 6 with absent cervix (post hysterectomy), attending the Gynecologic outpatient department at a tertiary care hospital in Bhavnagar district of Gujarat state. Cytological findings including incidence of inflammatory smears and epithelial abnormalities were compared between the two groups. Results: The demographic profile difference between the two groups was statistically non-significant. Overall incidence of squamous cell abnormality was 4.1 % and of glandular cell abnormality was 1.2%. Incidence of squamous cell abnormalities increases as the age of patients increases, highest incidence were seen in 61-70 years age-group. Inflammatory smears were common in women with unhealthy cervix (p=0.0001), however difference in epithelial abnormalities between the two groups were statistically non-significant (p=0.248). Conclusion: Inflammatory smears were higher among the women with unhealthy cervix in comparison to healthy cervix but the differences in epithelial abnormalities between the two groups were statistically non-significant. Hence this study emphasizes on the importance of universal screening of both the groups.