Introduction: Over a decade tobacco and various forms of tobacco have instant gratification for its users. Tobacco chewing & smokeless tobacco habits are an epidemic in our country. Snuff dipping and tobacco chewing are habits that are rapidly gaining popularity in our country.

The main etiological factors responsible for transformation of normal mucosa to a cancerous disease include tobacco and alcohols abuse. The duration of its exposure to such agents since many years lead to malignancies.

Background: Early Oral lesions are often subtle and asymptomatic. Hence such patients with tobacco pouch keratosis should be observed with suspicion, if tobacco use with alcohol abuse is present. Here we present the cases of Tobacco related lesions observed over a period of 1year (Jan – Dec 2015) in the Department of Oral Pathology and Microbiology, PDM Dental College and Research Institute. Bahadurgarh, Haryana.

Material: The study population consisted of 30 males between the agegroup of18-35 years who visited the department of Oral Pathology &Microbiology, PDM Dental College.

Method: History of the patient with regard to their consumption habits of smokeless tobacco were obtained after taking their consent on the duly singed patient’s consent form for this study. Intra-oral Figs were taken, and incisional biopsies were performed to compare the chronicity of the lesion.

Conclusion: Here we try to emphasize that if the patient is educated and convinced regarding the dire future consequences of these lesions in the intial stage itself, then the process of cancerous transformation of these lesions can be nipped in the bud.