Background: Episiotomy is recurrent surgical procedure that facilitates birth vaginally while 
associated with serious complications which negatively affect aspect of women's life. Thus, this 
study aimed to evaluate the effect of aloe vera, olive oil and normal saline on episiotomy pain 
and healing among primi-para women. Subjects and Method: Design: A comparative 
experimental study design was applied. Subjects: A purposive sample of 90 parturient women 
who were chosen from obstetric departments of Tanta University and El-Menshawy General 
Hospitals. Three tools used: Tool (I): Women's knowledge regarding episiotomy care that 
consisted of four parts, Tool (II): Pain Intensity Visual Analogue Scale (PIVAS) and Tool (III): 
The Standardized REEDA Scale. Results: It was proved that episiotomy pain intensity assessed 
by (PIVAS) highly significantly improved among aloe vera group followed by olive oil group 
compared to the normal saline group. Also, total REEDA scale shows evident improvement on 
episiotomy wound healing especially among aloe vera group followed by olive oil group 
compared to the normal saline group at 5th and 10th days post intervention. Conclusion: It can be 
concluded that applying aloe vera followed by olive oil are highly effective in alleviating 
episiotomy pain and promote wound healing among primi-para women compared to normal 
saline solution at 5th and 10th days post intervention. Accordingly the study recommended that 
applying aloe vera followed by olive oil is highly effective on managing episiotomy pain and 
promoting its healing