Background: mixed urinary incontinence (MUI) is defined as the complaint of involuntary loss of urine, associated with urgency and also with effort. Urodynamic studies (UDS) are widely considered the gold standard investigation for determining the type of incontinence. Aim of the Work: It evaluates the safety and efficacy of transobturator tape (TOT) procedure in treatment of women with mixed urinary incontinence. Patients and Methods: this study was carried out at Ain Shams Urology Department and National institute of urology and nephrology in the period from October 2017 to may 2018. This Study included 20 female patients with MUI who failed to respond to medical treatment and other forms of conservative methods. Post operative evaluation was carried out at 2 weeks, 3, and 6 months following operation. Results: Our study showed statistically significant cure rate for urge component 12 cases (60%), and also significant cure rate for stress component 17 cases (85%), no statistically significant difference in the cure rate depending on the age factor by dividing the patients into two groups group below forty (11 cases) and group above forty (9 cases). Conclusion: our study showed statistically significant cure rate for urge component 12 cases (60%), and also significant cure rate for stress component 17 cases (85%). The limitations in our study were small number of patients and short time of postoperative follow-up. We advocate that the TOT procedure should always be tried in the management of mixed urinary incontinence in female population as it is an effective and simple procedure.