Background: Short and long-term maternal morbidity associated with perineal repair can lead to major physical, psychological and social problems, affecting the woman's ability to care for her new baby and other members of the family. complications depend on the severity of perineal trauma and on the effectiveness of treatment. The type of suturing material, the skill of the operator and the technique of repair are the three main factors that influence the outcome of perineal repair. Objective: To compare the impact of interrupted versus continous suturing in episiotomy repair after vaginal birth in primigravidas. Patients and Methods: A randomized controlled trial was performed at EL-Minia general hospital and AL-Hussin university hospital in Obstetric unit the study included 160 healthy women with viable normal singleton Pregnancy achieving normal vaginal delivery at or beyond 37 gestation from April 2019 till December 2019 women were randomized to repair either interrupted or continous suturing after episiotomy done at the crowning in the second stage of labor. Results: In the present study, the mean participant's age in continuous group was 25.l+5.03 and in interrupted group was 242+4.68. As regard parity, all patients were prinigravidae. None of these groups revealed any statistically significance differences indicating that the two groups were well matched. There was no statistically significant difference could be detected between continuous and interrupted groups as regard participant's age, wound dehiscence and infection, hematoma formation and amount of blood loss during the repair measured by number of soaked gauze towels. The results showed that there was highly statistically significant difference could be detected between continuous and interrupted groups as regard number of units of sutures material that it was higher in interrupted group compared to continuous group. The results showed that there was no statistically significant difference could be detected between continuous and interrupted groups as regard perineal pain at 48 hours 10 days 42days measured by VAS. Conclusion: The use of continuous knotless technique for perineal repair is associated with less number of units of sutures material used.