The presence or absence of nodal metastasis has a great impact on the prognosis and survival of patients with head and neck cancer. The risk of occult metastasis is related to the method by which the lymph nodes are evaluated. It is possible to reduce the risk of undiagnosed metastasis with accurate imaging techniques and thus probably reduce the number of elective neck treatments. The aim of this study was to assess the accuracy of clinical palpation, CT Scan, Ultrasound and Ultrasound guided FNAC in prediction of lymph node metastasis in oral squamous cell carcinoma. our study came with the conclusion that the palpation, CT Scan and US are equally accurate but the US-FNAC is the most accurate technique in assessing the cervical lymphnode metastasis in oral squamous cell carcinoma.