Cervical cancer in pregnancy is increasingly reported worldwide nowadays. We studied eleven Thai pregnant women presenting with the clinical symptoms and signs of cervical cancer at Songklanagarind Hospital in Hat-Yai, Thailand between 1982-2001. Their mean age was 35.5 (range 30 to 41) years. The most common presenting symptom was vaginal bleeding, occurring in six patients (54.5%). Four patients (36.4%) were asymptomatic. The diagnosis of cervical cancer was made by biopsy of a gross lesion in seven of the women (63.6%). Four patients were referred for an abnormal Papanicolaou smear, and invasive disease was confirmed by colposcopic directed biopsy. A cone biopsy was performed without complications to the pregnancy in one patient diagnosed with microinvasion. Five patients (45.5%) were diagnosed before 20 weeks gestation. Most patients had stage I lesions. The predominant histologic cell type was squamous cell carcinoma in 8 cases (72.7%), followed by adenocarcinoma in 3 cases (27.3%). Eight patients postponed therapy to optimize fetal outcome, with a mean diagnosis-to-treatment interval of 134 days (range 27-327). Seven patients are free of disease after follow-up for 28 to 82 months. Patients in this study mostly had a good outcome.