Breast cancer is the most frequent cancer seen in woman. It was initially thought to be a disease of the elderly woman having certain risk factors like early menarche, late menopause, nulliparity, lack of breast feeding and westernised life style (which would also partly explain increased ocurence of the above mentioned risk factors). The incidence of this disease in India is  increasing and it seen to occur in woman at an age which is almost a decade younger than the western counterparts. Also, most of the woman do not harbor the known risk factors as Indian society has largely well preserved family structure where marrige, child birth and breast feeding still are a standard cultural norm. Despite these facts, breast cancer has become the most common cancer in woman in five of the six population based cancer registeries (PBCRs) in India. While Urbanization and adoption of westernized lifestyle may explain the rising incidence in the urban PBCRs in India, the statisticallysignificant increase in age adjusted rate over time (1982–2014) of 1.87% seen even at the rural PBCRs at Barshi makes it all the more important to identify the“at risk factors” existing in this ethnic and geographic region of the globe. Because of lack of these classical risk factors in indian woman, the breast cancer risk assessment tools (BRCAT) developed and validated in the western world do not largely apply to our woman and hence underestimate the risk of developing breast cancer in the India woman. Keeping these points in mind, we want to study the risk factors for development of breast cancer present in our Indian woman and try to develop and validate a breast cancer risk assessment tool, which will estimate the risk of developing breast cancer in indian woman. This may also help in developing breast cancer prevention programes and mechanisms in the future. Also, this will help in identifying the “at risk” woman so that they may be selectively  offered image based (mammographic) screening in a resource limited country like ours.