Voluntary counseling and HIV testing for pregnant women is a starting point for institutingrnan MTCT prevention program. The objective of this study was to assess pregnant women'srnutilization of and attitude towards voluntary HIV counseling and testing service. A crosssectionalrnstudy design was used in which data was collected using a structuredrnquestionnaire administered in a face to face interviews. The study was conducted inrnGondar town at two hospitals and one health center, namely, Gondar University hospital,rnDefense hospital and Gonder health center. The study sample comprised of 176 pregnantrnwomen aged from 18 to 38 years. It was found that most of the respondents had goodrnknowledge of mother to child transmission of HIV and its prevention; and voluntary HIVrncounseling and testing service. Similarly, most of them had a positive attitude towardsrnVoluntary HIV counseling and testing service. However, most (93.18%) of them had neverrnused voluntary HIV counseling and testing service because of the presence of differentrnfactors. Except age other variables (level of education, occupational status and maritalrnstatus) had no significant relationship with utilization of VCT service at 0.05 level ofrnsignificance. The study indicated that good knowledge about MTCT and VCT; and positivernattitude towards VCT did not contribute to pregnant women's utilization ofVCT service.