Background: Restless leg syndrome stands as a prevalent neurological complication within hemodialysis patients which often neglected in clinical practice and negatively affects the physical and mental health of patients and leads to a reduced quality of life. As a non pharmacological intervention, aromatherapy massage is considered to show fewer restless leg syndrome symptoms, decrease restless leg syndrome severity, allow more effective and efficient hemodialysis sessions, and improve patients' quality of life.  Purpose: To determine the effect of aromatherapy massage on restless leg syndrome and quality of life among patients undergoing hemodialysis. Design: A quasi-experimental research design was utilized. Setting: The study was conducted at Hemodialysis units at Menouf General Hospital and Fever Hospital, Menoufia governorate, Egypt. Sampling: A consecutive sample of 64 adult hemodialysis patients with restless leg syndrome was selected randomly and divided alternatively into two equal groups, 32 patients for each group. Instruments: Three instruments were used for data collection: Structured interview questionnaire, International restless leg syndrome severity rating scale, and World Health Organization quality of life-bref questionnaire. Results: There were significant improvement in total restless leg syndrome severity score among study group than control group at post intervention (P <0.02*). Also, there were significant improvement in quality of life for study group (100%) had high quality of life compared to control group (87.4%) who had moderate quality of life. Conclusions: Aromatherapy massage has a significant effect on reducing severity of restless leg syndrome and improving quality of life among patients undergoing hemodialysis. Recommendations: Patients undergoing hemodialysis should be engaged in practicing the aromatherapy massage that reduce severity of restless leg syndrome and improve their quality of life.