Background: Previous researches have established that the access to palliative care in the life is one of the patients’ rights. Therefore, it should be delivered into every level of health care or PHCCs. Knowledge assessment of PHC physicians regarding palliative care in PHC, it is not clear what their current level of knowledge and attitude toward palliative care is. So, the study aims to evaluate the knowledge of PHC physicians about primary palliative care.rnMethods: This is a cross-sectional descriptive which was conducted in KSA between March 2019 and February 2020. The participants of the study were PHC physicians in eastern province, Saudi Arabia - Dammam & Khobar. The study included 154 PHC physicians.rnResults: More than half of participants (53%) aged 30, 28.1% aged 30-40 years while 10% aged more than 40 years. Most participants (57%) were Females, while 62% had MBBS FM resident 28% had a FM specialist. Or less years. Less than half of physicians' PHC centers (46.9%) had They have never worked in palliative care unit or clinic. Stepwise multiple regression analysis indicated that only 19.9% of palliative care knowledge could be explained by under-standing of palliative care definition, education level and experience in providing palliative care in hospital. Although palliative care training did not have a significant correlation (Practice experience) Hospital palliative care experience. Also, revealed that 74% when asking doctors about the job title in PHC, years of experience working in PHC center and palliative care training. Table3 and Table4 explain the results of the multiple regression analysisrnConclusion: The majority of primary care physicians or most had uncertain attitudes and poor knowledge towards palliative care. Integrating palliative care into primary health care systems is urgently needed to alleviate the suffering of those patients. In conclusion, we recommend to raise palliative care in PHC physicians' awareness regarding palliative care in PHC, especially those with no postgrad-uate studies and those with limited experience in PHC, through continuous medical education.