Abstract The objective of this study is to evaluate the strategic alignment in the Governmental organizations by conducting a field study that was applied to the staff of the Directorate of Health Affairs in Dakahlia governorate as one of these organizations that serves more than six million citizens. In the light of the review of the previous literature, a theoretical framework for strategic alignment variable and its dimensions (IT, processes, individuals, and customers) was developed. The primary data were collected through a survey prepared according to a set of previous scientific research, and the validity and reliability tests were carried out before questionnaire was finally applied. The study population comprises all employees of the Directorate of Health Affairs in Dakahlia Governorate (size of 11604). Accordingly, a simple random sample (383) was selected to apply the field study. For analyses purposes, a set of statistical methods (descriptive statistics, one-sample T-test, one-way variance analysis ANOVA) were used. The results of the study revealed that the level of strategic alignment in the researched directorate was average, compared to the optimal level to be achieved. It also revealed a significant misalignment between the dimensions of the strategic alignment. This misalignment is due to the differences between (customers) dimension and dimensions of both (IT & individuals).