Introduction: Oral cancer is the world's sixth leading cause of cancer-related death. Nodal metastases, whether present or absent, has a significant impact on the prognosis and survival of patients with head and neck cancer. We did a study to see if there was a link between T staging and positive lymph nodes in histopatholgical reports in cases of oral cavity malignancies that had been operated on. Materials And Methods: The research was conducted as a Hospital Based Descriptive Observational Study. The study comprised 111 patients with histopatholgical verified Squamous Cell Carcinoma of the Oral Cavity and those who needed surgery with neck dissection due to metastatic disease. Patients were operated with excision of tumour and modified radical neck dissection. Initial T stage of the lesion was compared to final number of positive lymph nodes in the histopathological report. Results: With advanced (T3 and T4) stage of presentation, metastasis to lymph nodes was more common (77.5%) than early (T1 & T2) stage of presentation (54.92%). With T4 stage metastasis to multiple nodes (63.63%) was more than T2 stage (61.53%). Early stage i.e., T1 has more cases with single lymph node metastasis (58.33%) while T4 has low single lymph node metastasis (36.36%).(table -4). In Early stage of presentation i.e., T1 & T2, patient had more metastasis to single lymph node (44.73%) while in late presentations i.e., T3 & T4, patients had more metastasis to multiple lymph nodes (58.06%). Conclusion: It was found that T4 had more patients (63.63%) with multiple lymph node involvement, followed by T2 which had 61.53% patients having multiple nodal metastasis. Patients with T1 had more patients (58.33%) with metastasis to single lymph node.In patients classified as late stage, i.e., T3 & T4 patients had 58.06% multiple nodes involvement compared to early-stage patients (41.93%). There was no significant association between stage of presentation and number of nodes involved.