Abstract Background: Pelvic organ prolapse (POP) is a common gynecological condition that affects millions of women worldwide, particularly those in the reproductive and postmenopausal age groups. It results from the weakening of the pelvic floor muscles and connective tissues, leading to the descent of pelvic organs into or through the vaginal canal. Despite various surgical techniques available for its correction, recurrence remains a significant clinical concern. Understanding the rate of surgical recurrence and identifying the contributing factors are essential for improving patient outcomes, guiding surgical decision-making, and informing postoperative care. Objective: The General objective of the study is to assess the recurrence and predictors of pelvic organ prolapse among women underwent pelvic organ prolapse surgery at TibebeGhion specialized referral hospital in Bahir Dar, from 2022 to 2025. Methods:cross sectional study was conducted among all women who presented with recurrence of prolapse as well as without any recurrence signs after pelvic organ prolapse surgery at TibebeGhion Specialized Referral Hospital,Then data collected based on a structured data extraction checklist. After data was collected using kobo toolbox completeness and inconsistencies were checked and data was exported to excel and cleaned, then the data set was exported to IBM SPSS version 25. Bi-variable and multi-variable logistic regression analyses was employed to identify the recurrence and predictors of POP. Descriptive statistics was done to describe different characteristics of the study participants the goodness – of –fit of the final model was assed using the Hosmer and Lemeshow test, where a p- value greater than 0.05 was indicate a good model fit. Bi-variable binary logistics regression analysis was performed to assess the association between each independent variable and postoperative recurrence of pelvic organ prolapse. Variables with a p- value ≤ 0.25 in the bivariate analysis were considered candidates for multivariable logistics regression finally, statistically significant association of variables were determined based on p-value<0.05. Result: A total of 340 women underwent surgical management for pelvic organ prolapse and were included in the analysis. During the follow up period, 33 women developed recurrent pelvic organ prolapse, giving an overall recurrence rate of 9.7%. In the multivariable binary logistics regression analysis, postoperative complication and rural residence were independently associated with recurrence. Women with postoperative complications had substantially higher odds of recurrence compared with those without postoperative complications (AOR = 8.06, 95% CI: 2.01, 32.35, p=0.003). Rural residence has a higher odds of pelvic organ prolapse recurrence compared with urban residents (AOR = 18.2, 95% CI: 1.3, 255.6, p=0.031) Conclusion: in this study the recurrence rate of POP is 9.7%. Postoperative complication and rural residence are an independent factor for recurrence.