Voice is an integral part of human attribute known as speech. A person with voice problem may present with hoarseness, voice fatigue, breathy voice etc. change of voice is just a symptom, but dysphonia is a diagnosis. This study was carried out in the department of ENT, C. U. Shah medical college and hospital. A total 100 cases were studied. Patients (both male and female) presenting with hoarseness of voice were studied.We found total of 178 complaints from 100 patients. Few patients had two or more than two complaints at the time of examination. Change of voice was the commonest presenting symptom in 92 cases(92%). Other complaints included vocal fatigue(10%) and two cases had aphonia.