Background: Informed consent is defined as voluntary authorization, by a patient or researchrnsubject, with full comprehension of the risks involved, for diagnostic or investigative procedures,rnand for medical and surgical treatment.This voluntary authorization of patient to receivernmedical/surgical treatments are often violated in different health care institution. The utilizationrnof the informed consent procedure by providers are determined by different factors.rnObjective: The study objective is to assess perception of Informed Consent and Patient SafetyrnPractices about Surgical Procedures among Service Providers and Patients in Addis Ababa.rnMethod: Facility based mixed study with both quantitative and qualitative designs wasrnconducted from May14, to June 14, 2017. For the quantitative part, a cross sectional study designrnwas used, data was gathered from 338 patients admitted to the surgical wards, and reviewrndocuments from 258 post-operative patients participated in decision of surgical procedure forrncomprehensive information of informed consent in selected hospitals of Addis Ababa. Forrnqualitative study an interviewer guided in-depth interview was used for data collection during thernsame period during quantitative data collection to explore patient safety practice andrnimplementation of information about surgical procedures from physicians and service providers.rnResult: From providersâ€™ perspectives, patient safety practices are not fully implemented. There wasrnstatistically significant association between awareness on surgical informed consent and beingrnwidowed, higher education and occupational being students. There is no statistically associationrnbetween age, sex and residential area with surgical informed consent. The odds of beingrnwidowed/separated among participants for informed surgical consent was 8.2 times higher thanrnthose who had not married [AOR=8.167 CI (1.414- 47.182. Patients whose higher educationrnwere almost two times likely to surgical informed consent than those with not educatedrn[AOR=2.033 CI (1.0344-3.998)]. Being occupational student was three point eight times morernlikely to surgical informed consent than professional workers 3.793(1.161-12.387) [AOR=3.793rnCI(1.161-12.387)].rnConclusion: Surgeons seemed to have good understanding of the requirement and process ofrninformed consent but, Informed consent is not fully implemented to its standard. Patients are inadequately informed on the risk, alternatives and complications related to surgery. The more educated patient had better understand of the essence and practice of surgical informed consent policy.