Introduction: Phacoemulsification is gaining popularity for cataract removal and refractive lens exchange, and the continued evolution of equipment, techniques and intraocular lens. Multifocal intraocular lens (IOL) design, has resulted in the evolution of postoperative goals to include not only visual restoration but to improve patient satisfaction as well as visual outcomes and quality of life. The aim is to evaluate visual and refractive results following implantation of a trifocal diffractive intraocular lens (IOL) and to determine patient satisfaction and glasses independence. This was a prospective study enrolling 74 eyes of 42 patients undergoing lens removal surgery with implantation of trifocal diffractive Medicontur IOL (Liberty). Visual and refractive outcomes were evaluated preoperatively and 6-month postoperatively. Patient satisfaction, spectacle use, photic phenomena presence, and ease of performance of vision-related activities were assessed via questionnaire. 74 patients included in this study entirely patients finished the 6-month after surgery. 77% were males and 23% females, 84% of them with age ≤ 30 years old and 16% > 30 years old mean range of age (45.04 ± 12.3) years (19-69 years). 99% of them with glare absent while 99% of patient with no eyes discomfort, (100%) did not require glasses for near or far vision postoperatively, This table show difference between visual acuity of patients after and before surgery (P-value< 0.05), so there is a difference between VA for near before and after surgery, there was difference between refraction after and before surgery (P-value< 0.05) and refraction in spherical is better after surgery. In conclusion, implantation of the Medicontur trifocal IOL (Liberty) after lens removal surgery restores visual acuity with a minimal level of photic phenomena, better to doing normal everyday actions with no glasses, and with good satisfaction of patients after operation.