Children today live in a media-rich society. Media is useful in education, science, arts, sports, and culture. Kids and teens spend a lot of time watching TV, films, videogames, and online. Media violence threatens public health and increases real-world violence and aggression. Family closeness declines significantly on a personal level. Aim, this study aimed to identify the effect of media use on aggressive behavior and family relation among school age children , Design A descriptive correlational design was utilized in this study , Sample,  A convenient sample of 100 caregivers who have a child 7 years and older. Setting, the study was conducted at Cairo University Specialized Pediatric Hospitals CUSPH outpatient clinics. Tools of data collection, data was collected through using (4) tools Socio-demographic data sheet, Aggressive behavior scale adopted from Parry Buss (1992), The media viewing questionnaire that was designed by (Yonus, 2016), Social media impact on family relationship scale. Results showed that 45% and 46% of the studied children their ages ranged between 6- 10 and 11-15 years old respectively. The verbal aggressive behavior is the most prevalent type of aggression among studied children where the mean was 18.61±5.22. 80% of studied children moderately accepted use of media. More over 63% of them has average degree of social media impact on family relationship Conclusion; the majority of children under investigation exhibited a moderate level of acceptance towards media usage. Also the verbal aggressive behavior is the most prevalent type of aggression among studied children. Furthermore, there were statistical significant relationships between media viewing, aggressive behavior, social media impact on family relationship in studied children.  Recommendation; Collaborate with healthcare specialists, including pediatricians, psychologists, psychiatric and pediatric nurses and other relevant practitioners, in order to effectively address concerns connected to media and its impact.