Background: Transparent leadership is one of the key ways to manage change in an organization. That will help nurses in building trust with health team members and promote creativity, teamwork, and loyalty and organizational fidelity is the extent to which delivery of an intervention adheres to the protocol or program model originally developed. Aim: This study aimed to assess the relationship between transparent leadership and organizational fidelity. Design: A descriptive, correlational design was used in this study. Setting: The study was conducted at Al-Arish General Hospital. Subject: All available of nursing personnel was included (N=200). Tools: Two tools were used in collecting data for the current study as transparent leadership questionnaire and organizational fidelity questionnaire. Results: More than two-thirds of nursing personnel perceived a high level of transparent leadership and about three-quarters of them perceived a high level of organizational fidelity. Conclusion: There was a positive statically significant correlation between transparent leadership and organizational fidelity among nursing personnel. Recommendation: Encourage continuous professional development and training programs focusing on transparent leadership skills and organizational fidelity. Replicate the study on large sample size and on governmental and private healthcare settings to explore the long-term effects of transparent leadership on organizational fidelity.