Background and aim: In developed countries, endometrial carcinoma is the most common gynecologic malignancy while cervical carcinoma ranks fourth; while in developing countries, endometrial carcinoma ranks second with cervical carcinoma being the most common .This difference is due to lack of screening programs in developing countries, while in western world high socioeconomic and nulliparity increase risk of endometrial carcinoma. The Aim of this study is to identify patterns of relapse in patients with endometrial or cervical carcinoma after receiving their primary local treatment (radical surgery without radiotherapy) and its possible correlation with both tumor variables as well as treatment given. Methods: This is a retrospective study which included patients pathologically proven cervical or endometrial carcinoma presented to Kasr Al-Ainy oncology center from January 2008 to December 2012. Patients with metastatic disease at presentation were excluded from the study. Results: Cervical cancer is less common than endometrial cancer. No role for parity as regards endometrial cancer as most cases were multiparous. Obesity has a role in endometrial cancer as a risk factor. For cervical cancer squamous cell carcinoma is more common than adenocarcinoma while, for endometrial cancer most cases were adenocarcinoma. Relapse rate was (22%) for cervical cancer as well as endometrial cancer. Relapse siteswere local more than distal for cervical cancer and distant more than local for endometrial cancer. Distant relapse sites were mainly to liver, bone and lung. As for the overall survival, 5 years OS was 90% & 95% for cervical and endometrial cancer respectively, but this was subjected to lack in proper documentation in patient mortality. Conclusions: Although this is a retrospective study with small number of patients yet. It demonstrated benefit of surgery (alone or with adjuvant treatment) in improving DFS for both endometrial and cervical cancer (gynecological malignancies). Impact of lymph node dissection cannot be assessed due to lack of documentation.