The Urdu and English versions of the GHQ-28 were administered in Pakistan to bilingual students using a crossover design, in order to evaluate the equivalence and reliability of the translation in relation to the original, and to determine convergent validity using the Hospital Anxiety and Depression Scale (HADS) as a comparison measure. Satisfactory findings at each of level of analysis indicated that the Urdu GHQ-28 was comparable to the original English version.