Background:Understanding the motives and factors that form the attitudes, behaviors and actions taken to control birth among the community is necessary to reach the fertility rate goals. It is worth mentioning that many studies have been developed in different Egyptian governorates to investigate the obstacles facing fertility reduction.Aim of the work: Assessment of knowledge  and attitude towards family planning methods utilization and  help to improve any defect in the family planning program.Methodology: Randomized controlled Data collected through personal interview with the females attended to Salama Abd-alaah mother and child care center and Elmahamda Elbahria family medicine unit and satisfy the  inclusion and exclusion criteria using a specially designed multi-item questionnaire.Results:A descriptive study was conducted with 625 ever-married women aged 15–49 years in a household. The most common contraceptive methods ever used were oral contraceptive pills (47.4%) and intrauterine device (23.5%). Of the women interviewed, 57.6% were currently using contraception and seeking for pregnancy (75%) were the most reported reasons for not using contraceptives, while fearing of contraception side effects were reported by 22.3% of the women. About 96.6% of the women agreed that using family planning had positive advantages for health. The results highlight some educational needs among these women.Conclusion: Despite the women's knowledge about many modern and traditional methods of contraception, the use was limited to certain methods: Pills, IUCD and injectables. Attention should be given to other methods to provide multiple choices for the women who found that pills, IUCD or injectables are unsuitable for her instead of not using any method.