Hirsutism refers to the excess growth of terminal hairs, occurring in a male pattern, in a woman of childbearing age. It can be classified as idiopathic or secondary. It has been found to affect about 5–15% of women of childbearing age. There have been many attempts at quantifying the degree of hair growth in hirsutism, and at present, the modified Ferriman-Gallwey scoring system is assumed to be the gold standard method. Hirsutism commonly presents in association with features of hyperandrogenism like acne, seborrheic dermatitis, and virilism. Hirsutism demands evaluation to determine etiology, and to assess baseline for the comparison of response to therapy and progression of hirsutism. Laboratory assay of androgen levels plays a major role in the categorization of hirsutism as well as the determination of etiology. It is recommended to measure androgen levels in moderate to severe hirsutism rather than an isolated mild hirsutism. Free testosterone level among the androgens in females is considered the major hormone to assess for evaluation of hirsutism. Hirsutism has a great effect on psychology and social relations resulting in reduced quality of life. Women with hirsutism tend to lose self-confidence, self-esteem, and doubt their feminism.