• Background:- There is little information about the current management of pain after obstetric surgery at Tibebe Ghion specialized hospital and Felegehiwot comprehensive specialized hospital ,which are among the largest hospital in Bahirdar ,Ethiopia. Inadequately controlled postoperative pain subjects individuals to complications which may be fatal or leading to prolonged hospital stay. • Objective:- To assess pain after cesarean section and factors associated with post op pain among women who deliver at Tibeb Ghion specialized hospital and Felegehiwot comprehensive specialized hospital • Methods:- Cross sectional facility based study was conducted. 419 women who was delivered by cesarean section at Tibebe Ghion specialized hospital and Felegehiwot comprehensive specialized hospital from July1,2020 to September 1,2020G.C was included. A structured questionnaire used to retrieve information from the patient and her medical document. The collected data was cleaned, coded and entered into EPI data ver 3.1 and then exported in to stastical package for social sciences version 23 for analysis. Descriptive statistics was used to show the socio-demographic characteristics For further investigation, bivariate and multivariable Logistic regression analysis was done to identify the most common associated factors. The results was presented in tables and charts. • Result:- The main finding of this research is that most of the respondents had moderate to severe pain was reported as 96.4% of cases with in 24 hrs post op. Duration of surgery with AOR and 95% CI 4.6(1.3-15.9)was found to show significant association with severe pain .that indicate odds of being in moderate to severe pain is 4.6x higher for those having duration of surgery >60min than those having less .No significant association was found between other independent variables. • Conclusions and Recommendation: The management of post cesarean section pain in TGSH and FHCSH hospital is inadequate. demonstrated by all post op patients experience some degree of pain post op. Odds of being in moderate to severe pain is 4.6x higher for those having duration of surgery >60min than those having 40-60min and <40 min. So a unify pain management protocol is urgently needed to ensure safe practice . For surgeries which took long time consider analgesia before transfer the patient to the recovery or immediately at recovery. • Key words: -Post op Pain, Numeric rating scale ,Cross sectional study