Background: Intussusception is the second most common cause of gastrointestinal obstruction in infants and children. Non-operative; hydrostatic reduction of intussusception is well established in developed countries, its practice in developing countries including Ethiopia is less common due to late presentation, lack of facilities and appropriate expertise. In Ethiopia, there is limited studies because most common management of pediatrics intussusception is operative currently non-operative management becomes the gold standard and increasing practice. Objective: This study aims to assess success, recurrence rate and its associated factors of hydrostatic reduction of intussusception in Tibebe Ghion Specialized Hospital (TGSH), Northwest Ethiopia from January 1, 2021 to August 30, 2022”. Methods: Institutional based cross sectional study was employed among 110 intussuscepted pediatrics patients who had undergone hydrostatic reduction from January 1, 2021 to August 30, 2022 at TGSH in Bahir Dar City. Data were collected by reviewing patient charts using a census sampling method. Data were entered into the Epi data version 3.1and exported to SPSS version 23 for further analyses. A binary logistic regression model was fitted to identify the associated factors. Bi-variable and multivariable regressions were performed and adjusted odds ratio (AOR) with its 95% confidence intervals (CI) was estimated to identify the factors associated with the success and recurrent rate of hydrostatic reduction. Results: This study 110 patient charts was included out of 120 charts. This study show that; 14(12.7%, 95% CI: 6.4-19.1%) and 10(9.1%, 95% CI: 4.5-14.5%) of hydrostatic reduction procedure was failed and recurrent respectively. Rural residence (AOR=9.04, 95% CI: 1.41- 57.78), and visible abdominal mass (AOR=15.15, 95% CI: 1.79-128.10), procedure takes more than 10 min (AOR=30.28, 95% CI: 2.52-363.67) were significantly affects the outcomes of hydrostatic reduction Conclusions: The rate of failed hydrostatic reduction and recurrent intussusception was comparable to similar studies. Rural residences, visible abdominal mass, and duration of procedure were significantly associated with the outcomes of hydrostatic reduction. Keyword: Intussusception, hydrostatic reduction, Bahir Dar, Success rate, recurrence rate