In this study 50 patients with cervical spondylosis at one or more levels were presented, anterior cervical discectomy with interbody bone graft insertion with plate fixation were done on 25 patients, while 25 patients were subjected to simple anterior cervical discectomy, in a random way. All these patients were followed up clinically and radiologically for a period of 3 months to 2 years and finally we conclude that:The commonest level affected is C5-C6 level.The most common complaint of patients is Brachialgia and neck pain.Plain X-ray in dynamic views is mandatory to detect associated cervical instability.MRI cervical spine is the investigation of choise for cervical spondylosis.Longitudinal incision in cases of anterior cervical discectomy with fusion and fixation is better than transverse incision in more than one level discectomy.Titanium plates and screws are better than other plates as it allows post-operative CT scan or MRI cervical spine without artifacts.Locking plates are far superior than H shaped non locking plates in cervical fixation as it prevents pullout force over the screws.Plate fixation in cases of multilevel discectomy with bone grafts interbody fusion aggravates the fusion rate of bone graft.Interbody grafting using iliac bone graft insertion is needed to maintain the height of cervical spine, prevent puckering of the ligaments which leads to post-operative numbness and paraesthesia or interscapular pain after removal of the disc without interbody grafting.The most common complication of anterior cervical approach is hoarseness of voice and dysphagia which spontaneously disappear within 1-2 weeks.The most common complication of interbody iliac graft insertion is graft pain, also long time of operation and economic factors defecting the plate and screws fixation.