Background: The rectus sheath is closed during a cesarean section using a variety of methods and suture materials. To ensure optimal healing and minimize problems, a few general guidelines should be followed while sealing the anterior abdominal wall. All sutures used to seal the musculofascial wall must be tightened to roughly resemble the incision's margins. The tissue will become ischemic and necrosis will form if a further strain is applied. Objective: The purpose of this study was to compare the Knotless suture technique to traditional techniques in rectus sheath closure after a cesarean section. Patients and Methods: In this randomized control study 90 patients undergoing cesarean section were divided into two equal groups in the Obstetrics and Gynecology Department at Al-Azhar University hospitals of Damietta for elective cesarean section. Results: In the present study,  there was no statistically significant difference between study groups as regards infection of wound dehiscence at 1^st week. Also, there was a statistical increase in the number of granulomas and discomfort in group B than in group A. Conclusion: In conclusion, we can say knotless suture for rectus sheath closure post-CS could save time and provide an effective method for closure of rectus sheath with a lower risk of complications, postoperative pain, and discomfort.