Purpose: The current study was conducted to compare between the effects of cryolipolysis and liposuction in abdominal adiposity in females. Subjects and Methods: Thirty females suffering from localized fat deposits at the abdominal area were involved in the study. Their Body Mass Index(BMI) between 30 kg\m2 -34.9 kg\m2.Participants age was ranged from 30-40 years. They were classified randomly and equally into two groups Group I: This group was composed of fifteen female suffering from localized fat deposits at the abdominal area. They were received cryolipolysis program for three months one session every two weeks plus aerobic exercise training three times/week for six month. Group II: This group was composed of fifteen female suffering from localized fat deposits at the abdominal area. They had liposuction for the treatment of abdominal adiposity The study was started from the 2nd week after the operation they were received aerobic exercise training three times/week for six months. Both groups were received the same dietary regime. Results: Group I, II showed significant reduction in body weight, BMI, skin fold, and waist circumferences but there was no significant differences between both groups. Conclusion: cryolipolysis plus aerobic exercise training showing the same effect of liposuction plus aerobic exercise training in the treatment of abdominal adiposity in females.