Background: Cataract is the leading cause of avoidable blindness worldwide, accounting for nearly half (47.8%) of all cases of blindness. In the developing world cataract accounts for almost 75% of cases of avoidable blindness where cataract blindness has a profound societal and economic impact through the loss of productivity of both the blind and those who care for them and to eliminate preventable blindness. Objective: The objective of this study was to assess the outcome of age related cataract surgery done at Hawassa University comprehensive specialized Hospital Method: A Hospital based prospective study was conducted from August 1, 2020 to November 30, 2020 among clients who had age related cataract surgery in Hawassa University Comprehensive specialized Hospital. Data was collected by trained residents using structured questionnaire. The data was coded, cleaned, entered using Epi info version 3.7 and analyzed using SPSS version 23 statistical software. Multivariable logistic regression was used to identify factors associated with outcome variable. Variables with p-value of <0.05 in were considered to have statistically significant associations with visual outcome after cataract surgery. Results: A total of 308 eyes of 276 patients included in the study. The median age of the participants was 60 years. Of 308 cataract-operated visually impaired eyes, 168 eyes were completed follow up and 32.1% of them achieved good visual acuity (≥6/18), 50.6% of them had borderline acuity (<6/18–6/60), and the remaining 17.3% were remained as having poor visual acuity (<6/60). Absence of complication at six week, pinhole correction or refraction and having complete follow up were factors identified to be associated with good post-operative outcome. Conclusions: In this study, the visual outcome of cataract surgery is significantly low as compared to World Health Organization’s recommendations. Complete follow up duration, pinhole correction or refraction and absence of complications were independent risk factors associated with good visual outcome. It has been recognized that there is significant improvement of visual acuity during follow up weeks and with available correction. Recommendation: The result would have been much better if the eyes could have been refracted.