Introduction:
Tobacco use is one of the leading preventable causes of illness and death. The most powerful predictor of adult tobacco use is smoking during adolescence. Tobacco use is growing fastest in low-income countries. Tobacco Cessation Services must be available. through out the country The first formal tobacco cessation clinics in India were set up in 2002, as a joint initiative of the Ministry of Health and Family Welfare, Government of India.

Objectives:
Tobacco cessation clinics objectives expanded to include training, awareness and advocacy issues and were re-designated as tobacco cessation centres. The purpose of these clinics is to develop intervention models for tobacco cessation for smoking and smokeless tobacco users, generate experience in the delivery of these interventions, and finally, to study the feasibility of implementing these interventions.

Methods:
Following methods are there for efficient and effective tobacco cessation system and services: 1.Tobacco Cessation Clinic (OPD based and community based); 2. Research work is also conducted by different TCCs; 3. Educational Programmes; 4.Display of educational materials. The service model developed by the TCCs can be extended to the community. People must be educated about the availability and benefits of tobacco cessation programmes. Healthcare givers must be trained in with behaviour counselling and pharmacotherapy. It is possible and better to have community bases services for peoples in country.

Results:
Believe in Five As (Ask, Advise, Assess, Assist and Arrange) is a five to fifteen minute research based counseling tool that has proven to be successful: Ask - systematically identify all tobacco users at every visit; Advice - strongly urge all tobacco users to quit; Assess - willingness to make a quit attempt; Assist - aid the client to quit; Arrange - schedule a follow-up contact.

Conclusion(s):
It is important to remember the reasons you want to stop tobacco. The first few days to weeks after quitting will be the hardest.