Background: - The total fertility rate of Ethiopia was 5.4 with 34 percent unmet needs for familyrnplanning. Although the contraceptive prevalence rate among women of reproductive age (15-49rnyears) has doubled during the last ten years, it still remains very low. This may indicate thernexistence of some barriers that prohibit couples from using family planning even if they desire tornlimit or delay births in 2005 in Ethiopia.rnObjective: - To assess the magnitude of unmet family planning need differences and levels ofrnagreement between husband and wife, Gedeo Zone, Southern Nation and Nationality People Region.rnMethods: - A cross-sectional comparative, community based study was conducted in Gedeornzone. The data were collected between 20 January and 15 February 2011. Wonago wereda andrnYirgacheffe town administration were selected by simple random sampling method. Usingrnrandom sampling technique, a total of 254 wives and 254 husbands in six rural and three urbanrnkebeles were selected for the study. A structured pre-tested standard questionnaire was used forrndata collection. Data entry, cleaning and analysis were done using the EPI INFO version 3.5.1rnand SPSS version 19 statistical package. Statistical tests such as Chi -square, logistic regressionrnwas used and also level of agreement amongst spouses was analyzed using Kappa statistics.rnResults: Unmet need for family planning was 39.4% for wives and 11.4% for husbands. Therndifference was seen both in unmet need for spacing (28.8% for wives vs. 8.3% for husbands) asrnwell as limiting family size (10.6% for wives vs. 3.1% for husbands). Overall, the observedrnconcordance was 51.49% for contraceptive use, 72.05% for unmet need, 92.9% for ideal numberrnof children and 96.85% for contraceptive attitude. The kappa statistic varied from a low of 0.062rn(P