Violence against women is increasingly being recognized as an important human right, development and health issue. However, it is difficult to know its magnitude in Ethiopia. The objective of this study is therefore to assess its magnitude and impact among women in Serbo town. A cross-sectional study was conducted on a sample of 281 women 15 years and above. Data was collected by trained female interviewers using structured questionnaire and summarization was done using SPSS software. One hundred and nienty-eight (75%) of the respondents had been victims of one or other forms of sexual violence, the most prevalent of which is verbal assault (55.3%) next to female genital mutilation (67.5%). The prevalence of complete rape was (5.9%) and that of attempted rape was (4.3%). The prevalence of STD was 11.5% after sexual assault, 42.3% got pregnant and 23.1% of them had abortion. One hundred and nine (42.7%) admitted to being victims of domestic violence out of which 7.3% were rape. There was found significant association between domestic violence and educational status (P =000, df=4). 166(65.1%) had there first sexual encounter before the age of 15 and in 19.2% of them even before the age of 10. Only 101(39.6%) said the attention given to women’s empowerment in the area is inadequate. Almost half of them (48%) said women should be educated and empowered in the society and 69 (27%) suggested adequate legal protection for the victims of sexual violence is necessary to combat gender based violence.