Abstract: The objective of this study was to determine ADL (Activity of daily living) in survivors of the Iran-Iraq war with bilateral lower limb amputation. The cross-sectional survey 335 amputees participated in the study (response rate = 58 %) and ADL (KATZ) questionnaire were used. The average age of the patients was 42.05 (SD = 6.33). The majority of the cases 97.6 % (n = 327) were married. The most common type of amputation was both below-knee 37.6 % (n = 126). Two hundred and six subjects (61.5 %) were prosthetic ambulates. Shell and landmine were the most common cause of amputation. The most dependency in ADL was related to transport 26.4% (n=90) which was followed by taking shower 19.6% (n= 67). The results of this study suggest a rehabilitation programs to improve the independency in amputees.