Occupational diseases arise out of, or in the course of employment. Beedi rolling is the major occupation of the women residing in the villages throughout the country. Beedi industry is one of the country's oldest industries and employs over 6.4 million workers in India. The objective of the study is to identify the occupational health problems among beedi workers. A descriptive study was conducted among 200 samples of those who had rolling beedi as an occupation, between the age group of 20 to 70 years and those who had more than one year of experience, in the villages of Udupi District. The study subjects were interviewed to collect the details with a clinical proforma. A total of 200 beedi workers were selected by non-probability convenient sampling technique. Data were entered in SPSS 16 version and analysed by using descriptive analysis. Out of 200 beedi workers, majority of the samples had back pain (90%), shoulder pain (62.5%), knee joint pain (52%), sneezing during beedi rolling (67.5%), early morning cough (24.5%), 26.0% of the workers had sinusitis, pain in the fingers (20.5%), nail discoloration(21.5%), vision problems (59.5%), and watering of the eyes (63.5%). Majority of the beedi workers had one or more health problems like musculoskeletal, respiratory, eye and skin problems. Finally this study concluded that beedi workers need to be educated regarding early identification of the health problems and prevention.