Background: Awareness towards tobacco hazards has increased recently but its role alone towards cessation is still under debate. For effective formulation of quitting strategies, knowledge regarding quitting behavior is necessary to study and hence a cross-sectional study was carried out in Hyderabad city. Objectives: 1.To study prevalence of different forms of chewing tobacco and its quitting patterns in urban area. 2. To study quitting patterns in relation to various personal and family background factors. Materials and Methods: A cross sectional research involves 3000 individuals from randomly selected 30 clusters by two stage cluster sampling method for this research during June __ampersandsignndash;December 2009 from urban area of Hyderabad (India). Pretested, designed and self explained questionnaire was used for interview purpose after taking verbal, written and informed consent with approval from ethical committee. Statistical analysis was done using SPSS software. Information was collected on chewing forms, quitting pattern, quitting reasons and health hazards, age of tobacco initiation, duration of tobacco chewing, daily frequency, family exposure of tobacco and knowledge regarding health hazards of tobacco. Results: About 58% of study population was ever-tobacco-chewers; 89 % of them were current-chewers and 11 % were quitters. Approximately 18 % of current-consumers were willing to quit. Mawa-masala (73 %) and Gutka (62 %) were preferred forms of chewing tobacco and 60 % of the current-chewers chewed tobacco six to eight times a day. About 51 % smokers and 71 % chewers showing willingness to quit had not consumed tobacco for more than five years, 69 % of current-chewers had a family member consuming tobacco. With initiation of health problems, 62 % subjects quit while 38 % of them already knew about health hazards but not willing to quit. Conclusions: Every 7 out of 10 residents were found to be exposed to chewing tobacco. With Mawa-masala and Gutka as a primary source of consumption, early usage in late adolescence, continuous consumption for long time and family as well as friend circle exposure seem to be inhibiting quitting. Awareness of tobacco health hazards only does not produce successful quitting results.