Background: Malnutrition is a comprehensive term refers to any imbalance in nutrition; from over-nutrition often seen in the developed world, to under-nutrition seen in many developing countries. Aim of the study: was to assess the malnutrition status in post-menopausal women. Subjects and Methods: Research design: A descriptive observational study. Setting: Outpatient clinics in Zagazig university hospitals, Sharkia Governorate. Subjects: included 198 Post-menopausal female patients. Tools of data collection: two tools of data collection were used. Structured Interviewing questionnaire, Screening scales An Arabic version of Mini Nutritional Assessment questionnaire (MNA),the Malnutrition Universal Screening Tool (MUST). Results: the majority of the sample main age was (57±7.14) , married (80.8%) and non- smoker(89.4%) and not using hormone replacement therapy (87.5%). working in inactive work (54.5%), not practicing regular exercise(77.0%), nearly half of them were university educated (54.1%), the malnutrition, according to tools (MNA) score, was (60.6 % ) , ( 9.1 %), &(31.7%) normal , medium risk and high risk of malnutrition respectively , but malnutrition according to Universal screening tool (MUST) score was (60.6%), (9.2%) & (29.2%) normal, medium risk and high risk of malnutrition. Conclusion: Nearly half of the sample had Malnutrition according to tools (MNA) score, and Universal screening tool (MUST). According to Mini Nutritional assessment tool (MNA), it has statistically significant in relation to age, weight, & BMI. Recommendation: Malnutrition assessment should be done by the primary health care team, especially nurses to all of the examined menopausal women. There should be a Health education program for all member of health care setting about assessment of undernourishment and the early detection of malnutrition. Planning of health education program about balanced diet prevention that should be implemented in all health care setting to provide care for old menopausal women.