Objective: The aim of this study was to find out the prevalence rates of common types of breast cancer in Northern Saudi Arabia. Methodology: A retrospective cohort study was carried out over a five-year period in two referral hospitals. In this study 257 files were retrieved from departments of Surgery from different hospitals in Hail region, Kingdom of Saudi Arabia (KSA). Results: Of the 257 samples diagnosed using Fine Needle Aspiration Cytology (FNAC), histopathological diagnosis was confirmed for 158 patients. Of the 158 diagnosed samples, 46/158 (23.2%) were ductal carcinoma, 7/158 (4.4%) were lobular carcinoma, 3/158 (1.9%) were mixed tumours, and 102/158 (64.6) were fibroadenoma. Conclusion: Fibroadenoma and ductal carcinoma are the prevalent breast lesions in Hail Region of Saudi Arabia.