Objective : To compare the effectiveness of tension free vaginal tape and tension free obturator tape in treatment of genuine stress urinary incontinence and to study the related complications. Method : 20 cases with complaints of stress urinary incontinence were taken during one year period and they were confirmed urodynamically. Exclusion criteria included patients with Diabetes mellitus, neurological disorders, patients with other form of incontinence, uterovaginal prolapse, urinary tract infection and pregnancy. Out of 20 cases ten underwent TVT procedure and ten were taken up for TOT. The outcome was studied at the end of six months.