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According to the World Health Organization (WHO), complications from gynecological procedures affect an estimated50,000–100,000 women worldwide, primarily in sub-Saharan Africa and Asia. Determining the health care parametersimpacting the results of gynecological procedures at Hoima Regional Referral Hospital (HRRH) was the primary goal of thisstudy. The study used a descriptive cross-sectional study design to collect information on health care factors influencing theresults of gynecological surgeries at HRRH, which is located in Hoima Municipality, about 200 km west of Kampala and servesthe populations of the Greater Bunyoro Region and the Eastern part of the Democratic Republic of the Congo, totaling over3 million people. 305 (38.1%) of the 384 patient files that were sampled experienced a full recovery with no complications,compared to 79 (20.6%), who mostly experienced issues at the surgery site (29/79). Pre-operative factors included receivingpre-operative resuscitation (91.7% of cases), prophylaxis (89.6%), being clinically stable before to surgery (97.9%), and havingelective surgery (71.4% of cases). Regarding intra-operative aspects, the majority (58.1%) used spinal anaesthetic, and (42.7%)the procedure was carried out by senior house officers. Following surgery, the majority of patients were observed receivingpain relief (66.7%), intravenous antibiotics (78.6%), and monitoring every hour (48.7%). Gynecological surgery problems aremore common than ever, with surgical site complications being the most common. This requires for coordinated efforts at alllevels of the gynecological maternal care system.