Background: The rate of CS procedures has dramatically increased we aimed to analyze the primary cesarean section in Minia Maternity University Hospital. Methods: This is a prospective descriptive study in which the researchers analysed the women who gave birth by Iry CS in Minia Maternity university Hospital (MMUH) during period from June 2021 to December 2021. Results: there was a significant increase in primary CS rate in Minia Maternity university Hospital (MMUH) in this study it presents about 21.3%, higher primary CSR was observed in women 20-47 years of age, In PG (55.5%), In overweight women (44.90%) and in rural than urban area. Conclusions: In this study, primary CS was high, the most common reasonsfor primary CS were mal-presentation, hypertensive disorders with pregnancy, fetal distress, appropitiate should be considered to decrease primary CS in this study.