Abstract : The global burden of disease study estimated that lower back pain (LBP) is among the top ten diseases and injuries that account for the highest number of worldwide. Occurrence rises and heights concerning the ages of 35 and 55. Although the causes of onset of LBP are remaining obscured, there are many risk factors identified such as age, gender, and obesity. This study was hence conducted to evaluate the prevalence of LBP and associated risk factors among middle age female at Najran province. Demographic data was taken from all the participants. Middle age female self-reported risk factors and history of LBP. Roland-Morris LBP and disability Questionnaire (RMQ) used to determine the grade of LBP. The most common age affected by moderate LBP was at age between fifty to fifty-five years old. More than two third of middle age female was suffered from any type of back pain at Najran province. Meanwhile less than half of them reported were had abortion episode from three to four times allied with moderate LBP. More than one third of middle age female with moderate LBP stated do not do any exercise. The prevalence of LBP was moderate among half of middle age females who were normal weight and overweight at Najran province. Govern the risk factors of LBP aiding for early identification and outwit the progression