Background:Hearing impairment is very commonly encountered in school going children, if not identified Abstract early it can lead to deviation of the neural topography of the child along with social, behavioral and communication problems. The aim of this research is to conduct a screening program for primary school going children to provide sufficient reliable data on the occurrence of hearing impairment and its relationship to age and gender. Materials and methods: In this cross sectional study a convenient sample consisting of 1516 primary school going children from Bikaner were screened for hearing loss. Subjects were divided in four grades viz. Grade 1: 423 children (3-11 yrs), Grade 2: 393 children (5-13 yrs), Grade 3: 302 children (6- 12years) and Grade 4: 398 children (6-14 years). Primary information was obtained through case history then otoscopy examination, Pure Tone screening, tympanometric screening and DPOAES screening performed on the subjects. Data was obtained and analyzed by Pearson’s chi-square test. Results: Finding revealed 13.7% males and 17.6% females with hearing impairment further refer rate was more fore left ear compared to the right ear. Overall the refer rate was found more for females in both the ears at all screened frequencies and observed highest for the Grade 1. Pearson’s chi-square test suggested spastically significant difference in refer rate among both gender and grades. Conclusion: The present study suggested that there is high prevalence of hearing loss in primary school going children which varies among different grades and gender. Negligence, lack of awareness and delay in promptness for pursuing regular hearing health care service are major causes for current findings. Data obtained from the present study emphasizes the role of annual hearing screening programs for school going children to promote the general health care, education, social and emotional adjustment. Key words: Hearing screening, sensitivity, Prevalence, Otoscopy, Pure tone audiometry, Tympanometry, Otoacoustic Emissions