Abstract Palliative care is an interdisciplinary provider and a basic technique to care that improves quality of life and alleviates struggling for the ones residing with critical illness, irrespective of prognosis. Aim of the study was to assess quality of life for gynecological cancer patients managed at Women's Health Hospital and assess the needs of these patients for palliative care Subjects and methods: Descriptive cross sectional study was applied on 50 women who suffered from gynecological cancer, conducted at inpatients' gynecological oncology′s unit at Women Health Hospital, Assiut University, two tools were used structured interview questionnaire and FACIT-Pal questionnaire, the last one contained 46-item to degree of self-reported health-related quality of life. Results: About 46.0%, 22.0% and 32.0%of studied women had low, moderate and high quality of life respectively, and 68.0% of them need palliative care .Conclusion: Most patients of gynecological cancer need palliative care. Recommendations: Provision the Palliative care for all gynecologic cancer patients from the start of diagnosis.