Preconception care recognizes that many adolescent girls and young women will be thrust into motherhood without the knowledge, skills, or support they need. Objectives: The study aimed to determine the level of perception among undergraduate girls regarding preconception care. Method: Exploratory research design was adopted to collect data from 288 undergraduate girls of the selected colleges of District Sirmour (H.P) using the multistage sampling technique. Data were collected by a self-administered questionnaire using 5 points Likert scale. Results: The present study findings showed that 37.2% of undergraduate girls had favorable perceptions regarding preconception care, 62.8% of undergraduate girls had moderately favorable perceptions (neither positive nor negative) regarding preconception care and none of them (0%) had unfavorable perceptions regarding preconception care. There was a significant association of age with the perception of undergraduate girls at the level of significance p<0.05.Conclusion: The results of the present study reveal that there is a lack of awareness regarding preconception care. Hence student’s perceptions regarding its benefits are not favorable. So there is a need to shift the care at the earliest to prevent further complications during pregnancy.