Objectives: The purpose of this study was to evaluate the impact of mode of delivery on urinary and sexual functions. Design: A cross sectional study, 1000 women were included in the study analysis. All included women were divided according to the mode of delivery into 2 groups : Group A (n=500) including women who delivered vaginally and group B (n=500) including women who delivered by cesarean section. Both groups are further subdivided according to duration since last delivery into group A1 (n=197) 12month or less, group A2 (n=303) more than 12 months, group B1 (n=266) 12 months or less, group B2 (n=234) more than 12 months. All women were questioned by questionnaire, which included urinary and sexual symptoms. Results: In women who delivered by vaginal delivery 207 (41.4%) showed symptoms of stress urinary incontinence ; while only 38 (7.6%) in cesarean section group. Women who showed cystocele are 216 (43.2%) in vaginal group ; while 28 (5.6%) in cesarean group. 181 (36.2%) complain of dysparunia in vaginal group ; while 141 (28.2%) in cesarean group. 283 (56.6%) complain of vaginal laxity in vaginal group ; while 26 (5.2%) in cesarean group.Conclusion: There is a significant effect of mode of delivery on urinary, but not sexual function as we can find that there is a high incidence of urinary stress incontinence and other urinary symptoms such as burning micturition, frequency of micturition and cystocele among women who delivered vaginal compared to women who delivered by cesarean section. Mode of delivery did not affect sexual function in our study participants to a great limit.