Background: Globally ovarian tumor is one of the leading causes of cancer death among women. It can present in childhood to postmenopausal age group and accounts for the most prevalent cause of hospital admissions. Ovarian tumor has varied histogenesis, clinical behavior and malignant potential. Aim and Objectives: This study was done to analyse the frequency of ovarian lesions, their clinicohistological features in a tertiary care center. Materials and Methods: Prospective hospital based study conducted in the department of pathology in tertiary care hospital in central India over a period of 1 year. All the relevant clinical data of patients who were treated surgically for suspected benign lesions of ovary were analysed. Results: Out of the total of 120 cases, 92 cases were classified as benign, accounting for 76.6% of the cases. There were 4 cases classified as borderline, representing 3.28% of the cases. The remaining 24 cases were classified as malignant, making up 20.12% of the cases. Serous cystadenoma is a frequently observed benign tumour. Serous cystadenocarcinoma is a frequently observed malignant tumour. The younger age group predominantly exhibited benign tumours, while malignant tumours were more prevalent among the senior age group. Malignant ovarian tumours are most frequently observed in women who have never given birth. Conclusion: Ovarian tumours of the surface epithelium were the most prevalent. Typically observed in individuals aged 40 to 59 years. The highest incidence of malignant ovarian tumours occurred in individuals over the age of 50.