Background/purpose: Circumcision using Gomco clamp is a commonly employed method in Saudi Arabia. The purpose of this study was to evaluate the safety and effectiveness of this method of circumcision. Methods: Between March, 2018 and April 2019, 110 patients underwent circumcision using Gomco clamp at King Fahd Military Medical Complex, Dhahran. The outcome variables studied included operative time, number and type of complications, redo procedures and cosmetic result. Results: The age range of patients was 4 months to 3 years. The average operative time was 21 minutes. The overall complication rate was 2.7% (n=3). Two patients (1.8%) had moderate bleeding which was managed with compressive dressing. One patient (0.9%) had penile edema which resolved on conservative treatment. Cosmetic result was satisfactory in all patients. Conclusion: The circumcision using Gomco clamp is a safe and effective method with good cosmetic outcome