Introduction: Breast cancer accounts for about one third of female cancer. Of all lesions, benign breast diseases have been found to be commonest. The aim of study was to analyze the incidence of breast diseases over the period of 3 years and to study the spectrum of diseases and age distribution. Methods: Retrospective cross-sectional study of breast lump cases at general surgery department of Travancore medical college over a period of 3 years. Result: Of the total 200 cases up looked into, 27 out of 200 cases were found to be malignant. Fibrocystic disease was the commonest (43%), followed by fibroadenoma (34.5%), 67 had lumps in right breast, 87 in the left breast and 46 patients had lump in both breasts. Conclusion: From the study we found that, most of the breast lesions are benign and there is increase in the number of cases each year. Some of the benign lesions may remain undetected and lead to malignant change. So early detection of breast carcinoma and public awareness is crucial to save the patient from morbidity and mortality. Keyword: Breast Diseases; Carcinomabreast; Fibrocystic disease.