Chalazion by itself is innocuous but various malignant and premalignant lesions of the lid can mimic a chalazion. It was a retrospective, interventional study where the medical records of all cases of chalazion which underwent surgical treatment from 2005 to 2015 were reviewed. Data collected included the age, gender, eye and the lid involved, number of lesions, treatment received, outcomes of surgical treatment and the clinical and histopathological correlation of the lesion. All the cases were sent for histopathological examination of the sample obtained to confirm the diagnosis. A total of 481 patients were included. Age of the patients ranged from 2 years to 86 years. Out of 481 cases, 282 (58.6%) were males and 199 (41.4%) were females. Right eye was the commonest eye to be involved. 406 patients (84.4%) had a single lesion and 75 patients (15.59%) had multiple lesions. Recurrence was seen in 25 patients (5.19%) after 6 weeks following incision and curettage. Histopathological discrepancy was seen in 4 cases (0.83%). We recommend that chalazion specimens, primary or recurrent, should be submitted for histopathological examination. Incision and curettage is a safe and effective procedure for the treatment of chalazion and can be used to treat cases which do not respond to conservative management.