OBJECTIVE: To assess perinatal outcomes and associated factors among women with Trial of Labor after Cesarean Delivery who gave birth at public Hospitals in Bahir Dar city, Northwest Ethiopia, 2022/23 METHODS: A cross-sectional study was conducted among 120 mothers who came for labor and delivery service from BACKGROUND: Caesarean section is one of the commonest operations performed on childbearing women, with rates continuing to rise worldwide. For the parturient who has had one previous caesarean delivery there are basically two options, trial of labor after Cesarean section or elective repeat caesarean section. Trial of labor after Cesarean section provides women who desire a vaginal delivery the possibility of achieving vaginal birth after cesarean delivery. In different ways both of these confer a degree of perinatal morbidity, and rarely mortality. April 01/2023 to June 30, 2023 in public hospitals at Bahir Dar city. Study subjects were selected using systematic random sampling method. Data was collected using interviewer administered pre tested questinoniare and checklist. Data were entered, cleaned, coded and analysis by using SPSS version 25 statistical software.. All variables with p- value<0.05 in the multiple logistic regression were considered statistically significant. RESULTS: Of the total of 120 participants who underwent TOLAC were participated and the chart reviewed, giving a response rate of 100%. The unfavorable perinatal outcome of labor among respondents who had trial of labor after cesarean section was 18(15.0%). Among women with trial of labor after cesarean section unfavorable perinatal outcome were more likely among women with rural Place of residence (AOR=9.98; 95% CI: (2.91-34.23), prolonged duration of labor (more than mean) (AOR=6.23; 95% CI: (1.67, 23.22) and Failed TOLAC(AOR=94.4; 95% CI: (1.17, 16.49). CONCLUSION: The unfavorable perinatal outcome of labor among respondents who had trial of labor after cesarean section was 18(15.0%). Place of residence, duration of labor and failed TOLAC was found to have significant association with unfavorable perinatal outcome. Our results showed that unfavorable neonatal outcome were higher in failed trial of labor after ceseral section. Keywords: Trial of labor after cesarean section, Perinatal outcome, successful VBAC