Back ground: Premenstrual syndrome (PMS) is a collection of physical and emotional symptoms that alter changes in physical health, mood and behaviors. It affects the women recurrently and interfere with regular aspects of life. Methods: The pre–experimental, one group pre and post–test design was adopted. The purposive sampling technique was used to select 30 early adult women as per inclusion criteria. The level of PMS was assessed by using the PMS rating scale before and after foot reflexology intervention. Results: The overall pre–posttest mean score with SD was 29±3.40 and 5.76± 6.79. In association, the educational status, BMI, age at menarche and type of menstrual flow are statistically significant at p<0.05*. Conclusion:  The paired ‘t’ value of 16.81 was significant at p<0.05* revealed that, foot reflexology is effective method in reducing the PMS