Background: This study Assess the frequency and nature of intraoperative and postoperative complications as well as short term outcomes in ovarian cancer patients treated with open surgery including para-aortic lymph node dissection (PALND). Methods: This descriptive cross-sectional study enrolled 36 patients underwent extensive PALND up to the renal vessels as a part of open surgery for suspected early and advanced stages of ovarian cancer in Obstetrics and Gynecology Department, Zagazig University Hospitals, Egypt, during the period from August 2015 to November 2017. Results: In this study, the duration of PALND itself is more or less than one hour (mean 66.1+_13.7 and range 45-80 m) and the median volume of blood loss was (105 ml). 8 patients (22.2%) received intra and postoperative blood transfusion, the range of hospital stay for all patients was (7-14) days. the rate of postoperative ICU admission was (16.6%). There were no postsurgical treatment-related deaths. The most frequent postoperative complications were ileus (8.3%), LL lymphatic edema (8.3%) and major wound healing complications (11.1%). Conclusion: ovarian cancer patients may safely undergo comprehensive staging involving PALND in open surgeries without significant perioperative morbidity, if provided by trained Gynae-oncologists.