Background:-IUCD and Contraception Implant are highly effective, with pregnancy rates of less than one percent per year. Countries with a high prevalence of undesired pregnancies can get more benefit from LARC method. Objective:-To assess utilization of long acting reversible contraception methods and its associated factors among current family planning user in health facilities of Hawassa city, SNNPR, 2019Gc Method:-Institution based cross sectional study was conducted in March to April 2019Gc. Sample size of the study was 323. Five health facilities were randomly selected by lottery method and the sample was proportionally distributed to each health facility. Interviewer administered structured questionnaire was used. Epi data and SPSS were used for data entry and analyses. Binary logistic regression analysis was conducted to see the presence of association. P-value <0.25 in bivariate analysis were entered in to multivariate logistic regression. P-value < 0.05 under 95% CI were considered as having significant association with dependent variable and considered as statistical significance in this study Result:-Three hundred fourteen current family planning user were interviewed. Utilization of LARC method was 29.3% of which 76(24.2%) were Contraception Implant and 16(5.1%) were IUCD. Women who had number of living child more than 2 were 2.21 times more likely utilize LARC method than those who had less than 2 children. Those who had high knowledge about LARC method were 3 times more likely utilize LARC method than those who had low knowledge about LARC method AOR=2.99, 95%CI (1.20-7.48) and women who had got greeting and welcoming by health care provider 3.13 times more likely utilize LARC method than those who were not AOR=3.13,95%CI (1.12-8.76) Conclusion and recommendation: - The current utilization of LARC method in the study area was 29.3%.Number of living children, Knowledge about LARC and welcoming and greeting were significantly associated with utilization of LARC. To increase utilization of LARC Hawassa town health office and NGOs working on family planning should focus on awareness creation and attitude about LARC method.