Background: Breast lump is a common clinical presentation among females and may range from benign to malignant conditions. Early diagnosis and appropriate surgical management are crucial for preventing cancer-related morbidity and mortality.

Aim: To study the clinical profile of patients with breast lump and evaluate surgical management outcomes.

Methods: A prospective observational study was conducted on 100 patients presenting with breast lump**. Clinical examination, FNAC/biopsy, imaging findings, and types of surgery performed were analyzed. Postoperative outcomes and complications were recorded.

Results: Majority of patients belonged to the 20–40 years age group (55%). Fibroadenoma (45%) was the most common lesion, followed by fibrocystic disease (25%) and carcinoma breast (20%). Surgical procedures included lumpectomy (40%), modified radical mastectomy (20%), and simple mastectomy (10%). Postoperative complications occurred in 15% of cases, mainly seroma and wound infection.

Conclusion: A structured approach with triple assessment (clinical exam + imaging + FNAC/core biopsy) helps in accurate diagnosis. Surgical treatment should be individualized based on pathology, patient preference, and staging.