Abstract Background: COVID-19 pandemic presents miscellaneous challenges to health systems globally including reproductive health, with an unequal influence on those that are the lowest resourced. Aim of the study: Was to assess utilization and satisfaction of women about contraceptive methods during COVID-19 pandemic in Zagazig city. Study design: Descriptive study. Setting: The study was conducted at two settings: El-Nahal and Gazala maternal and child health centers in Zagazig. Study subjects: Purposive sample of 290 women in the child bearing age was included in the study. Tools of data collection: Three tools were used; Structured interview questionnaire, questionnaire of women utilization of contraceptive methods and questionnaire of women satisfaction towards contraceptive counseling. Results: More than two fifth of the studied women who were using contraception for the first time or change to a new method preferred to use hormonal methods followed by natural methods, barrier methods and finally copper IUD. Almost half of the studied women agree with protective precautions followed in the MCH during COVID-19, highly significant positive correlation between total women satisfaction of contraceptive counseling and total utilization of contraceptive methods during COVID-19 . Conclusion: The most commonly utilized methods before and after COVID- 19 were hormonal methods, natural methods and the least used were barrier methods. Almost two thirds of women were satisfied regarding contraceptive counseling. Recommendations: Women utilization and satisfaction with contraceptive counseling during COVID-19 can be achieved through promoting public facilities and centers with the universal infection control measures and that services offered are up to the quality standards as this will decrease fear of attracting infection for both health care providers and women seeking contraceptive care in these facilities. Keywords: Contraceptive methods, COVID-19 pandemic, Satisfaction, Utilization, Zagazig.