Introduction: An understanding of the causes of diabetic foot enables early recognition of patients at high risk. The objective of the present work was to study frequency and determinants of diabetic foot among diabetics attending the urban primary health care centers (PHCCs) in Abha City, Southwestern Saudi Arabia. Methods: In this cross sectional study researcher included all diabetic patients attending the seven urban PHCCs in Abha city were studied. Data were collected during 15th November, 2011 to 30th March, 2012. Data were obtained from the chronic diseases files, socio demographic variables __ampersandsigncedil;type and duration of diabetes, diabetic foot and concomitant conditions were investigated and analyzed. Statistical Package for Social Sciences (SPSS ver.18) was used for analysis. Results: The present study included 2308 diabetic patients (1252 males and 1056 females). A minimal prevalence of 1.2% of diabetic foot was found. In multivariate binary logistic regression analysis the following potential risk factors were identified; age more than 60 years, obesity and number of visits for the PHCC of less than four in the previous year. Conclusions: The study emphasizes the importance of regular visits to the PHCCs among diabetic patients. Regular screening for foot complications is recommended in all patients. Treating physicians should be encouraged to exert more attention and care to foot examination, especially for the obese and elderly diabetics.