Menopause is the time in women's lives when menstrual periods stop permanently, they had no menstrual bleeding for a year, and they are no longer able to bear children as a result of decrease in hormone production by the ovaries. Aim of the study: was to assess menopausal symptoms and marital adaptation among working women. Study design: Descriptive cross sectional design was used. Setting: The present study was conducted among menopausal working women in Zagazig University. Study subjects: A purposive sample consisted of 160 menopausal working women. Tools of data collection: Three tools were used; interview questionnaire including demographic data and medical history, the menopause rating scale and dyadic adjustment scale. Results: more than half of menopausal women had severe total symptoms and three quarters of them had maximum level of marital adaptation. Conclusion: there was no statistically significant relation were found between symptoms severity and marital adaptation among menopausal working women. Recommendation: Health education program for menopausal women to increase awareness about symptoms of menopause and how to adapt with this period and further studies are needed to assure study results.