Background: Meningioma is the most common primary intracranial tumor. Even thoughrndifferent management options exist in modern medicine, surgery is still the only cure for thisrnbenign tumor. Surgical options are not without risk. Identifying and predicting the short-termrncomplications in an Ethiopian setup might be useful in the decision-making process beforernsurgery for our patients. This study uses a prospective design that aims to assess 30 days of posoperative complications of intracranial meningioma.rnMethods: Aprospective study that was conducted at TASH, ZMH & MCM hospital betweenrnNovember 1, 2019, and September 1, 2020. Assessment of postoperative complications wasrndetermined in-person using a standard questionnaire in both inpatient & outpatient setup. For therninvestigation, pathology & Intraoperative findings data were collected from medical charts,rnradiology, and pathology archives.Data were checked for completeness and quality control aftewhich, it was entered on SPSS version 21 for analysis using logistic regression.rnResults:A total of 77 patients were enrolled in the study. The mean age of the patients wasrn40.94 years. 71 (92%) patients presented with headache and 62 (80.5%) patients had one orrnmore focal neurologic deficits. Tumor was classified based on location and size. 47 (61%) ofrnthe tumors were skull base tumors.The surgical mortality rate which was defined as deathrnwithin one month was 9.1%. Among all patients, 37 (48.1%)had one or more postoperativerncomplications of which new-onset or worsened focal deficit was the commonest. A significantrnassociation was seen between skull base tumors and postoperative complications in bothrnbivariate and multivariate analyses witha p-value of 0.01 (OR=5.79, 95% CI: 2.061-16.312.rnConclusion: Even though the complications and mortality rates were high, surgery led tornsymptom improvement in a large proportion of patients. Skull base meningioma, anesthesiarntime more than 5 hours, and blood loss more than 1000ml hada significant association withrnpostoperative complications.