BACKGROUND Cataracts are opacities of the natural, crystalline lens of the eye that decreases vision. In Nigeria, cataract accounts for 43% of blindness. Surgery is the only treatment for Cataract. Patient health education influences understanding of cataract and its treatment. Aim: To determine the impact of structured health education on acceptance of cataract surgery and Health Related Quality of Life of patients undergoing cataract surgery at Jos University Teaching Hospital. Methodology: A prospective quasi experimental, hospital-based study done within 6 months. 118 participants aged 18 years and above were recruited using a consecutive (convenient) sampling technique with 59 participants in intervention and control groups respectively. Structured health education talks and photo cards were given to intervention group while control group received the conventional verbal health education talk. Data regarding patient’s socio-demographic characteristics, knowledge, awareness and patients’ attitude towards cataract and cataract surgery and informed consent and acceptance of cataract surgery were administered preoperatively to both groups. 14-item VF questionnaire was administered pre and postoperatively to both groups. Data Analysis: Data was entered into Statistical Package for the Social Science version 23 for analysis. Frequencies and percentages were determined for quantitative variables; mean and standard deviation were calculated for qualitative variables. The difference in means of paired measurements (pre-op and post-op visual function scores) was compared using paired student t- test. Statistical significance was tested using the Pearson’s chi-square and Fisher’s exact test where the expected frequency of a cell was ≤5. Analysis of relationship between socio- demographic factors and variables was done. Significance level in this study was at p-value <0.05. xvi RESULTS A total of 118 participants were recruited for the study; 59 in each group. There was 100% response rate in pre-operative questionnaires, and 95.8% response rate in post-operative questionnaires. Majority of participants in both groups were 56 years and above with overall mean age of 59.4 ± 13.0. There was statistically significant difference between the two groups in participants’ awareness and knowledge of cataract and cataract surgery as 48(81.4%) had good knowledge in the intervention group compared with 18(30.5%) in the control group (χ2=30.944, P=0.01). Positive attitude towards cataract and cataract surgery was 51(78.5%) in the intervention group and 14(21.5%) in the control group. This difference was statistically significant (p=0.001). Furthermore, majority of participants 54(91.5%) in the intervention group and fewer participants 43(72.9%) in the control group agreed that education on cataract and its treatment influenced their decision to accept cataract surgery. Preoperative visual function score in the intervention group was 59.4±18.8 and 50.6±13.4 in the control group with no statistically significant difference. (t = 1.531, p=0.129). Average post-operative visual function score for intervention group was higher (83.4±17.4) compared to participants in the control group (69.2±34.1). This difference was statistically significant (t=3.081, p=0.003).