Background: Hair loss, also known as alopecia, is a common condition that can affect both men and women of all ages. The present study was conducted to assess patterns of hair loss using trichoscope. Materials & Methods: 120 patients with hair loss of both genders were recorded. A thorough examination was carried out. In each patient hair pull test and trichoscopy was done. Symptoms and type of lesions were recorded. Results: Age group 21-30 years had 25, 31-40 years had 20, 41-50 years had 35 and 51-60 years had 40 patients. The difference was non- significant (P> 0.05). The most common symptom of presentation was hair fall in 56, thinning of hair in 24, white hair in 5, patchy hair loss in 10, itching in 20 and itchy lesions in 5 cases. The difference was significant (P< 0.05). Common diagnosis was discoid lupus erythematosus in 6, FPHL in 14, alopecia areata in 32, canites in 25, hair cast in 5, lichen planopilaris in 5, ophiasis in 1, scalp psoriasis in 14, seborrhic dermatitis in 3, telogen effluvium in 12, tinea capitis in 2, traction alopecia in 2 and trichotillomania in 1 case. The difference was significant (P< 0.05). Hair pull test was positive in 72 cases and negative in 48 cases. The difference was significant (P< 0.05). Conclusion: The most common diagnosis was Alopecia Areata followed by canites, Scalp psoriasis, FPHL and Telogen effluvium. Common symptoms were hair fall and thinning of hair. Key words: Hair loss, Trichoscope, Scalp psoriasis