Examinations of healthy people have become an important part of healthcare. In India, various healthcare institutes undertake health care programs as packages wherein routine screening of common diseases is done, risk factors determined and analyzed. These are taken either by health professionals, consulting doctors in order to prevent future illnesses. Health checks are mandatory for many government servants, non-institutional workers, factory workers, students who are seeking admissions to professional colleges/courses. The lab tech packages, clinical examination ,financial burden, overdiagnosis, false positive and false negative aspects of examination need review for defining concept of medical checks whether fruitful or futile. We have undertaken a retrospective analysis in 1075 cases for analyzing varied aspects of health checkups–included a battery of investigations, some of which were inappropriate due to their poor diagnostic yield and cost implications. Pitfalls are analyzed and suggestions discussed.