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INTRODUCTION Cervical Cancer is the third most common cancer in the world. Improved Cervical cytology & Human Papilloma Virus screening methods have decreased cervical cancer incidence. AIMS & OBJECTIVES The aim of this Clinical Audit is to evaluate the Agreement between the histology findings and CST LBC results / Colposcopy impression in Assessment of Precancerous Cervical Lesions in all patients referred for colposcopy in view of abnormal cervical cytology. MATERIALS & METHODS This Retrospective study included 108 women who underwent colposcopy for abnormal cervical cytology between June 2022 and May 2023 at HKH Hospital NSW Australia. Out of 108 women, Cervical biopsy was performed in 48 cases based on colposcopy findings. LBC negative patients were further categorized to HPV 16/18 & Non-HPV 16 /18 types. The significance of the association between CST LBC result and colposcopy impression with histology of biopsy specimen was performed using the Chi-square test or Fisher?s exact. RESULTS Significant associations were observed between both CST LBC and colposcopy findings when compared to biopsy results. There was a moderate level of agreement between CST LBC results and biopsy findings. The agreement level between colposcopy impressions and biopsy findings was low. CONCLUSION The agreement level between colposcopy impressions and biopsy findings was lower as compared to that between CST LBC result & Biopsy findings. This may be secondary to variation in the experience and skill levels of clinicians performing colposcopies. Another limitation of this study was that the sample size was small. But there was significant independent association of each screening test with biopsy findings