In this study the total of ٤١٥ cases of cutaneous leishmaniasis was evaluated from Dermatology hospital and General clinic in Damascus from February ٢٠٠١ to February ٢٠٠٢. Most of these cases was reported in Damascus and its suburb, and when we made the direct microscopic test, amastigotes were detectable in ٢٧١ cases, and the positive cases was increased to ٣٦٤ cases by realizing the parasite culture into diphasic N. N. N. media, which confirm the diagnosis.