OBJECTIVE: To ascertain the pattern and frequency of cervical lesions in Port Harcourt, and the findings compared with the records of other workers elsewhere. DESIGN: A retrospective analysis of hysterectomy, trachelectomy and surgical biopsy materials. SETTING: University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria. SUBJECT: Six hundred and sixty-one histologically diagnosed samples from the uterine cervix, between January 1st 1998 and December 31st 2007. METHOD: The departmental surgical registers from 1998 to 2007 were studied. The original request cards and case notes were retrieved and scrutinized for patient’s age, presentation, and initial clinical diagnosis. The biopsy slides were retrieved from the departmental files, and studied using light microscope. The cases were categorized into neoplastic and non neoplastic conditions. The neoplastic cases were grouped into benign and malignant conditions, and were further classified using 2004 World Health Organization (WHO) scheme. The data was processed using EPI-INFO version 2000 series.