Background: Paralytic ileus is a major complication of cesarean sections that causes discomfort for the mothers, lengthens their hospital stay, and raises treatment costs. Aim: was to Evaluate the effect of post cesarean nursing instructions on woman's pain level and bowel motility after cesarean birth. Methods: Quasi-experimental research design was used in this study. Setting: It was conducted at post-natal word, Mallawi Specialized Hospital (An obstetric department) Mallawy city, Minia governorate. Sample: A simple random sample of a total of124 women that divided into four groups: study group was contained three groups  A: (sugarless gum chewing), B: (early oral hydration), C: (early mobilization) and D: (control group)), each group contained 31 postpartum woman. Tool: Three tools were used; structured interview questionnaire, post cesarean assessment form, and pain scale. Results: There are highly statistical significant difference between study group A: (sugarless gum chewing), B: (early oral hydration), C: (early mobilization) and D: control group at p-value <0.01 regarding hearing of bowel sound and passing flatus after cesarean section. Conclusion: Chewing sugar-free gum, early oral hydration, and early mobilization are useful approaches for improving intestinal motility and enhancing women's pain level after caesarean delivery. Chewing gum, however, improved the ability to pass flatus and detect bowel sounds. Recommendations: putting in place health education programs for expectant mothers that focus on the benefits of early oral hydration, chewing gum, and early post-section walking.