Background: Research of mortality was essential to provide basic information on the status of population health. Indonesia does not have a standart role for recording and reporting cause of death for every case that occurs in hospital or at home. Objective: determinan cause of death in MCCD in Gowa regency in 2011. Methods: Training and socialitation to medical doctors in every hospital how to fill the Information and Cause of Death Form ICD-10. The source information to fill MCCD was medical record and autopsi verbal questionnaire. Autopsi verbal was collected by nurse and paramedics then the doctors was resumed and cause of death code in MCCD. The analyses data was underlying causes of death based on ICD 10. Results: There are 2.813 mortality in Gowa regency in 2011 year. The place of mortality most at home (87,6%) and 12,4% only in health facility. The mortality was rised by increasing of age. The most of mortality by age group is + 65 years (47,2%). The main of base on 6 groups cause of death in Gowa regency is non communicable deseases (54,1%). There are transition of epidemiology cause of death in Gowa regency from communicable disease to non communicable disease. The main casue of death is stroke (13,6%). Conclusions: Recording and reporting system on UCoD in Gowa regency is developed but not optimal, because the result was still underestimate of mortality rate. The most mortality by sex is man and by place of death is at home. The main cause of death in Gowa regency is stroke. Recommendations: need to increase non-communicable disease control programs, especially stroke to reduce deaths from stroke.