Background: There has been an alarming increase of skin cancer among fair skinned populations. Differences in trends and rates of skin cancer may be due to variation in skin types, geographical latitudes, occupational exposure, behaviour in terms of sun exposure and skin protection and differences in disease awareness and surveillance. Histopathology remains the gold standard for most dermatological diagnosis, but it has its limitations and very often a definite ‘specific’ diagnosis is not possible. Hence to establish this we examined histomorphology of epidermis and adnexae, histomorphology of tumor like lesions of epidermis and adnaxae and the epidemiology of tumors and tumor like lesions. Material And Methods: The study was carried out in a tertiary care hospital at Kota, India. A properly completed surgical pathology requisition form containing the patient’s identification, age, sex, essential clinical data and tissue submitted were noted. The WHO classification of skin tumours was followed. All the tumors arising from mucosa and genitalia were excluded from the study. Results: Out of 484 cases, Epidermal tumors were most common (75%) followed by Adnexal tumors (20%) and Melanocytic tumors (5%). There is low incidence of Malignancy in all categories, with highest in Epidermal (5.78%). Male to female ratio was 2.3:1 Conclusion: Histopathological examination is essential for the accurate diagnosis and management of epidermal and adnexal tumors and tumor-like lesions. Clinicians should always consider histopathological evaluation for any suspicious skin lesion, especially those with non-specific clinical features.