Background: Cervical cancer is abnormal multiplication of cervical cells primarily from the cervix. Globally, 569,847 women are diagnosed with cervical cancer and 311,365 die from the disease. In Ethiopia about 6294 new cases and 4884 deaths are estimated annually. Considering its increasing burden, the Federal Minister of Health in Ethiopia recommended integration of pre-cervical cancer screening in reproductive health to reach 80% women aged 30-49 years since 2015.However, utilization of pre-cervical cancer screening with family planning service users and associated factors were not well addressed in the study area. METHODS: Institution based cross sectional study design was conducted among 547 family planning service users’ in health centers of Bahir Dar city from December25//2020 to January15/, 2021. Systematic random sampling was used to select 547 study participants and data were collected via face to face interview using standard questionnaires. The data were coded and entered into the Epi-data version 3.1 and then exported to SPSS version 23 for analysis. Both descriptive and binary logistic regressions were employed. A binary logistic regression model was used to identify predictors of the outcome variable. Variables significantly associated with the outcome variable during bi-variable binary logistic regression at p-value <0.25 were included in the multiple binary logistic regressions. Those independent variables with P-values less than 0.05 were taken as statistically significant factors of pre-cervical cancer screening utilization. RESULTS: Pre-cervical cancer screening utilization in this study was 56 (10.7%) with 95 %CI of (7.92.2-13.23). Women age 40-49 years old [AOR: 2.43, 95% CI: (1.00-5.92)], counseled by health professional’s [AOR: 8.55, (95%CI: (4.08-17.91, age <18 years at first sexual intercourse [AOR:2.63,(95%CI:(1.28-5.39, had positive attitude [AOR: 5.11, 95%CI: (2.08-12.54)] and had multiple sexual partners [AOR: 0.44, (95%CI: (0.23-0.83) were significantly associated pre-cervical cancer screening utilization. CONCLUSION: pre-cervical cancer screening utilization was low among women of planning users in this study. Women’s age 40-49 years, informed by health provider, age <18 years at first sexual intercourse, had multiple sexual partner and had positive attitude were significantly associated pre-cervical cancer screening utilization. Creating awareness and intensifying health education provision and creating positive attitude for targeted women are recommended to improve pre-cervical cancer screening utilization in the study area. Keywords: pre-cervical cancer screening utilization, factors, family planning users