Background: Postpartum care standards have demonstrated to enhance clinical outcomes for women who have caesarean delivery, as decrease pain, complications, hospital stays and improve clinical practice. Women's satisfaction is a key indicator of how well guidelines are implemented. Aim: This study aimed at assess the effect of postpartum standardized care guidelines to caesarean section women on their pain relief and satisfaction. Subjects and method:  Design: Quasi-experimental study design was used.  Setting:The study was conducted at obstetric and gynecologic department, Alazher university hospital in Damietta governorate. Sample: A total of 125 women underwent cesarean section operation divided into two groups were recruited. Tools of data collection: Structured interviewing questionnaire, follow-up observation checklist and women's satisfaction Likert scale were used. Results: Statistically significant differences observed between study group and control group (p = 0.001), as the study group were more likely to start early oral fluid, initiate regular diet, less exposed to complications and more likely to mobilize less than 6 hours (100.0%). Mean scores of pain in first 24 hours were lower in the study group (2.46±1.58) than in the control group (3.50±1.76). In addition, women in the study group were more satisfied with all aspects of postpartum guidelines (64.35±13.67) than women in the control group (63.34±12.67). Conclusion: Implementation of postoperative guidelines among caesarean delivery women was found to be beneficial in relief postoperative pain, complications and increase women's satisfaction. Recommendations: Postpartum standard care guidelines should be incorporated into the postoperative management protocol at all government hospitals.