Scrotal swellings are one of the commonest surgical problems. Different scrotal swellings may be present, but many a times patients hesitate to come early and may come with late complications. Objectives of the Study: 1. To study the etiology for different scrotal swellings. 2. To study different types and modes of clinical presentation of scrotal swellings. 3. To study the different investigations & treatment modalities for scrotal swellings & results of operations. Materials & Methods: Total of 50 cases clinically presenting as scrotal swelling were picked up randomly during the study. This is prospective study conducted on patients admitted with scrotal swellings of K.R Hospital attached to MMC & RI. The study was done for a period of 1 year 6 months. Results: Scrotal swellings formed less than 1.7% of surgical admissions. Primary vaginal hydrocele was present in 42% of patients studied, the other causes were Varicocele, epididimo orchitis, etc., and Most of the patients were in age group of 21-30 years. Most of them presented with painless scrotal swelling. Conclusion: Primary vaginal hydrocele constituted a major portion. Ultrasound of scrotum was helpful in confirmation of diagnosis. Jaboulay’s procedure was the commonest operation done, followed by lord’s plication. Amongst the various operations for hydrocele, Jaboulay’s procedure was associated with the least number of complications. Testicular tumors can be curable if they come early. Testis can be saved in torsion testis if they come within 6 hours of onset.