Purpose: Low back pain is not much prevalent among women wearing high heels but in certain cases it is the cause of disability, absence from work and also affects the quality of life. The objective of the study was to determine the prevalence of low back pain among the women of Khanewal wearing high heels. Methodology: A cross sectional survey was used. Data was collected from Khanewal from 1st October to 31st December 2019. The sample size was 250 women ranging between 20 to 40 years. Inclusion criteria include age between 20 to 35 years, height of heel 2 – 10 cm, duration of wearing of high heel shoes > 3 hours per day, frequency of wearing high heel shoes > 3 times / week. Exclusion criteria consisted of previous history of any accident or injury to the back, fracture of the vertebrae, any spinal pathology, any systemic disease, women who left wearing heels, women wearing heels occasionally. Data was collected by convenient sampling technique, through the use of oswestry low back pain disability questionaire.Study was completed in 3 months after the approval of synopsis. Data entry and analysis were done using computer software SPSS 21. Findings: Among 250 women with the mean age of 27 years, 208(83.2%) female lie in minimum disability sore and 42(16.8%) females lie in moderate disability score. The study concluded that there is relatively low prevalence of low back pain among the women wearing high heels. Recommendations: The duration of study was short, so in future more time is required for this study. Sample was only conducted in Khanewal, therefore more cities should be selected for target population to collect sample in future.