Aim: To study the etiology, clinical presentation, investigations, treatment modalities & their outcomes, post operative complications for scrotal swellings and follow up. Materials and Methods: The cases admitted to the surgical wards over a period of one and a half years i.e., November 2018 to May 2020, formed the material for this study. During this period 100 cases with h/o scrotal swelling admitted in various surgical units, selected at random were studied in detail as per proforma. Sampling Method: A Simple Random Sampling Results: 100 cases of scrotal swellings were studied and compared based on age, occupational distribution, mode of presentation, duration of symptoms, predisposing factors, treatment modalities and post operative complications. Conclusions: Scrotal swelling was commonest symptom. The other symptoms included pain/ heaviness of scrotum, fever, etc. •     Definitive surgery was done in 90 cases. •     Various forms of hydrocele constituted a major portion of the study (50 cases). •     Varicocele was the second commonest cause comprising of 13 cases. •     A total of 9 cases of Fournier”s gangrene, 6 cases of torsion of testis including one with scrotal abscess. •     There were 09 cases of epididymo-orchitis, 4 cases of testicular tumor, 3 cases each of sebaceous cyst and encysted hydrocele of cord and 2 cases of hydrocele with hernia. Keywords: Treatment modalities; Scrotal swellings; Hydrocoele; Varicocele; Outcome.