Object: To determine frequency, type, management & outcome of various urological injuries following obstetrical & gynaecological surgeries. Design: A retrospective, descriptive study. Setting: Departments of Gynae & Obstetric/Urology, Peoples university of medical & health sciences for girls Nawabshah. Duration: 1 st Jan 2007 to 31 st Dec 2009. Material and Methods: 30 females with age ranges from 17 to 60 years developed various urological injuries following obstetric and gynecological surgeries. Inclusion criteria were women underwent surgeries like caesarean sections, abdominal & vaginal hysterectomies. Exclusion criteria were genitourinary fistula due to malignancy, radiation & infections. The data was retrieved from the ward record on a proforma, & results were tabulated. Result: The type of injuries were; Vesico vaginal Fistula 21 cases, Uretero Vaginal Fistula 3 cases, unilateral ureteric ligation 3 cases, & one each case of Bilateral ureteric ligation, Ureteral trans-section & Vesico uterine fistula.All patients of vesico vaginal fistula repaired abdominaly, & 7 patients with trigonal or more distally placed fistula were managed vaginaly. Out of these 7 patients fistula reccured in 3 patients in 5-7 days following surgery. They were treated later on. Surgery was successful in all cases of uretero vaginal fistula, & Vesico uterine fistula. All cases of ureteral ligation had a smooth post operative period and showed a perfect renal function at follow up IVU. Conclusion: Injuries to urinary tract may occur during obstetrical & gynecological surgeries. These iatrogenic injuries impose a great impact on physical & mental condition of patient & her family. Therefore it is mandatory for the obstetrician and gynecologist to pay careful attention to the anatomy of the urinary tract in order to avoid such iatrogenic injuries.