Objective: This study aimed to evaluate Contasure-Needleless (C-NDL) technique in the surgical management of female stress urinary incontinence (SUI). Methods: This prospective observational study was performed on 80 women with urodynamically proven pure SUI (40 underwent ContasureⓇ + 40 underwent TVT-O KIM®) at Zagazig university hospital, obstetrics and gynecology department from August 2017 till October 2020 ,then they had 12 months follow up with 9 drop out cases (4 in TVT-O group, 5 in C-NDL). Detailed history, investigations ,urodynamics and physical examination were done before. ContasureⓇ was implanted through small anterior vaginal wall incision to both obturator muscles. Postoperatively, we evaluated patients’ pain, status of continence, satisfaction rate. For statistical analysis, we used the Statistical Packages for Software Sciences (SPSS) version 21. Results: Mean age of patients was 45.9 &44.3 years old , BMI was 28. 1 & 27.8 kg/m ² in TVT-o & Contasure respectively. Mean operative time was 18.25 & 17.1 minutes, blood loss was estimated as 77.9 & 62.55 ml, there was statistically non-significant difference between two groups regarding presence of pain, urinary complications or dyspareunia in favor of Contasure. Both techniques have similar success rate Conclusions: Success and satisfaction rates of Contasure mesh is hopeful without significant different lower complications ,but with higher cost 415$ versus 340$ KIM TOT . Furthermore, the procedure's efficacy holds encouraging results that need to be affirmed and tested by long-term outcomes.