Background: the cornea is a transparent dome shaped structure at the front of the eye separated from the iris and pupil by the anterior chamber. It is one of the main refractive media of the eye. Refractive surgery includes several types such as Photorefractive Refractive Keratectomy (PRK) and Small incision lenticule extraction (SMILE). Objective: contrast sensitivity affection in comparative study between patients undergoing photorefractive keratectomy (PRK) or small incision lenticule extraction (SMILE) surgery. Patients and Methods: twenty cases of different patients' ages; 18-30 years old with myopia from -0.5 D to - 9.00 D were included in this comparative study. Patient with corneal infection, trauma, opacities, operation, ocular disease or congenital eye disease were excluded from our study. All the selected patients were submitted to full ophthalmological examination (visual acuity, fundus examination, pantacam, and assess contrast sensitivity degree before operation and one month after refractive surgery. Measurement of contrast sensitivity was done by Function Acuity Contrast Test (FACT) before and one month after refractive surgery through several spatial frequencies (1.5, 3, 6, 12 and 18). Results: we found that contrast sensitivity was affected one month after refractive surgery in both groups but it is affected in group 1 after PRK more than group 2 that had femto SMILE. Conclusion: contrast sensitivity was affected in both patients who had PRK or Femto SMILE after one month from operation but it is more stable after Femto SMILE.