Objective: To evaluate the role of intraoperative cytology in the diagnosis of ovarian tumours. Methods: A cross sectional study of 75 cases received from January 2016 to October 2021 was conducted in the Department of Pathology for ovarian neoplasms received for imprint cytology, frozen section and histopathology. On receiving the unfixed specimen per operatively, gross examination was performed and Imprint cytology/Scrape smears were obtained followed by staining of slides with field and rapid hematoxylin eosin stain. A few representative tissue sections were taken and processed for frozen section. After frozen section and imprint cytology reporting, specimens were fixed in formalin and processed for paraffin blocks for histopathological examination. Results of imprint cytology, frozen and paraffin sections were recorded and categorized as benign, borderline malignant. Accuracy of frozen section and imprint cytology was determined by comparing them with histopathology. Results: Of 75 lesions studied by intraoperative cytology,57 lesions were classified as benign and 18 as malignant. Comparing the diagnosis of cytology smears and frozen section with histopathology,72 of 75 cases were concordant. When imprint cytology and frozen section was compared with histology, sensitivity, specificity, positive predictive value and negative predictive value were 98.2%,89.4%,96.4% and 94.4% respectively. Conclusion: Imprint cytology is a boon for resource deprived settings and frozen section complements it in tertiary care centres for intraoperative diagnosis and determining the extent of surgical intervention required.