Objective: The aim of this study was to evaluate the natural course of phantom limb complex withoutany treatment after lower limb amputation.Methods: The study design was consisted of a combination of retrospective review and cross-sectionalinterview. 101 patients with lower limb amputation were included into the study. Patients weredivided into three groups according to the amputation level: i) from hip disarticulation to knee disarticulation (including knee disarticulation) (25 patients, mean age: 55.9, 19 males, 6 females) ii) transtibialamputation (below knee to ankle including ankle disarticulation) (41 patients, mean age: 58.6, 33 males,8 females) iii) below ankle to toe amputation (35 patients, mean age: 58.7, 26 males, 9 females). Thepatients were evaluated on both early postoperative period (EPP) and sixth months after the surgery(ASM). The data related amputation including amputation date, level, cause, stump pain (SP), phantomlimb pain (PLP), components of PLP, phantom sensation (PS) were recorded based on the informationobtained from patients' and hospitalŞles.Results: Statistically signiŞcant differences were found for pain intensity (VAS) between groups for SPand PLP at EPP (p< 0.001, p ¼ 0.036; respectively). The mean VAS score in Group I for SP and PLP washigher than other groups. This differences for SP and PLP did not continue at ASM assessment (p¼ 0.242,p¼ 0.580; respectively).Conclusion: VAS scores for SP in above knee amputations and VAS scores for PLP in above knee amputations and below ankle amputations were higher at EPP. But these high scores had disappeared overtime. Management strategies have to be considered particularly in the early postoperative period inpatients who had undergone above knee amputation.Level of Evidence: Level III Prognostic study.© 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).