Abstract. Preconception care is needed to ensure that the FemaleAge Pairs (PUS) have prepared themselves for the health of the mother and fetus. The aim was to determine the difference in the effect of the use of video health promotion media and preconception booklets on knowledge and attitudes of fertile aged couples. This type of research is a quasi-experimental study with a pretest-posttest two group design with a sample (EFA) of 50 pairs. Quota sampling technique consists of 10 PUS representatives per region. Validity test using Pearson Product Moment correlation with r count> 0.576 and instrument reliability using Alpha Cronbach with alpha results> 0.6. The results of the data normality test for knowledge and attitudes with the Kolmogorov Smirnov Normality Test with a significance value for knowledge of 0.200> 0.05, the data is normally distributed while the attitude is 0.002 <0.05, the data is not normally distributed in value. For knowledge, a paired t test was carried out with a value of 0.000 (p <0.005) with a CI of 95%, so statistically there was a significant difference in the mean of knowledge, then for attitudes a non-parametric analysis was carried out using the Wilxocon test with a value of 0.000 (p <0.005) with CI 95 % then statistically there is a significant difference in the mean attitude. The result of the mean difference between post and pre-treatment knowledge using a booklet of 6.84 (14.96-8.12) while the treatment using video 2.92 (12.44-9.52), there is a difference between booklet and video of 3, 92 in changing respondents' knowledge. The mean difference between pre and post treatment attitudes using booklets was 12.8 (28.88- 16.08) while the treatment using video was 4.8 (23.84-19.04), there was a difference between health promotion using booklets and videos by 8 in change the attitude of the respondent. Health promotion using booklets is statistically more dominant than using videos both in changing respondents' knowledge or attitudes. The use of booklets to prepare for pregnancy can be used as early as possible in PUS.