Abstract: Background: Despite the global push for natural childbirth, Cesarean sections have become the most common surgery worldwide; the rate has dramatically risen in Egypt. Women who are recommended to undergo CS must accept the procedure and be satisfied with it. Purpose: This study was conducted to assess the effect of instructional technology on studied nurses' performance and satisfaction of women undergoing cesarean section. Method: quasi-experimental design was used; for nurses (one group pre and post-test), for women (pre-intervention group & post-intervention group) design was utilized to conduct this study.  Instruments: Three instruments were used (interviewing questionnaire for nurses, Observational Checklist for nurses and constructed interview questionnaire for studied women) Results: After conducting the instructional technology program, studied nurses had a higher level of knowledge (81%) and achieved better performance (80%) with higher statistically significant difference compared with pre intervention (5% and 65%). Conclusion: The instructional technology program improved nurses' knowledge and practices regarding CS and it was reflected on achieving a higher level of satisfaction among studied women. Recommendations Instructional technology should be integrated into the training programs to ensure that studied nurses stay updated with the latest advancements in CS procedures and technologies to achieve maternal satisfaction.