Background: Gastrointestinal surgical insults during operative gynecologic procedures varies considerably according to the procedure. Prognostic tools and risk factors should be elucidated by further research efforts to enhance management levels of those cases category Aim of the work: To investigate the risk factors, impact and severity as regards gastrointestinal injuries during gynecological and obstetrical operations Methodology: A retrospective case-control research study performed on cases who have underwent gynecologic surgery in the period between 2014 and 2019. Results: Risk factors for gastrointestinal injuries in which past history of abdominal operation , pelvic adhesions, previous pelvic operation have shown to be statistically significant risk factors for GIT injuries (p values = 0.007, 0.019, consecutively) Conclusions and Recommendations: Innovation of a surgical prognosis algorithm based on statistical analysis is considered the cornerstone of enhancement of surgical management of gynecologically challenging cases aiding in reducing gastrointestinal surgical insults within gynecological surgical practice.