Objective: Incidence of placenta accreta and its complications in cases of previous cesarean sections with placenta previa anterior at Al Hussein University Hospital. Materials and Methods:Ultrasound is the recommended first step in the diagnosis of placenta previa accreta. Color Dopplerultrasound has been suggested to aid in the diagnosis of placenta previa accreta. Magnetic Resonance Imaging also was used. Results: Cesarean Hysterectomy performed in all cases of accretion, bladder injury in 19 (47.5%) cases, bowel injury in 1 (2.5%) case, all cases received intraoperative blood transfusion, postoperative blood transfusion in 38 (95%) cases and ICU admission in 25 (62.5%) cases. Conclusion: The incidences of placenta accreta in cases of previous cesarean section with placenta previa anterior were 63%. Incidence, risk factors and Feto-maternal outcome of management of Patients with placenta accreta at Al Hussein University Maternity Hospital are comparable with those presented in several literatures.