Background: Breast cancer is the most frequently diagnosed cancer in females worldwide. The Hospital Based Cancer Registry data of FMRI, Gurugram were here used to describe the epidemiology and trends in breast cancer incidence in Gurugram. Methods: The time trend of breast cancer incidence was evaluated by using the HBCR data from 2013-2019. Results: A total of 3132 breast cancer cases were registered in 2013 - 2019, 62 (2.0%) in males and 3070 (98.0%) in females. Breast cancer was the leading site of cancer in females accounting for 3070 (28.9%) of cases with a median age of 50 years. Age specific incidence rates increased with age and attained a peak in the 40-64 (67.2%) years of age group of all cases. Conclusions: The Breast, was the most common cancer site among women from 2013 to 2019 in Gurugram. A similar trend has also been noted for other metropolitan cities viz. Bangalore, Bhopal and Chennai. Though the age-specific incidence rates (ASR) in these cities are comparable, they are still low compared to Western countries. Changing life styles in metropolitan cities like delayed marriage, late age at first child birth, lower parity and higher socio-economic status, may be some of the probable primary cause for higher incidences of breast cancer in urban as opposed to rural areas.