This is a study that evaluate the tension-free vaginal tape (TVT) and obturator tape (TOT) procedures in terms of continence results, outcome and complications after a median follow-up of 6 months were compared The aim of this study was to evaluate the efficacy of the TOT versus the TVT in women with stress urinary incontinence (SUI) .This is a prospective randomized clinical trial study on eighty female patients suffering from SUI that were randomly allocated to two groups; TVT (n=40) and TOT (n=40) group. Preoperative and postoperative assessments included a validated Stress and Urge Incontinence Questionnaire, a 24-h pad test. The clinicopathologic parameters of the patients included age, body mass index, onset of incontinence, previous pelvic surgery, parity, delivery, type of anesthesia, operative time, hospital stay, catheter indwelling, postoperative complications and 1, 3 and 6 months follow up of ICIQ.