Objectives: The aim of this study is to determine whether tobacco treatment specialized nurses are capable of delivering effective smoking cessation counseling intervention in Saudi Arabia.

Method: Participants were selected based on their clinical assessment and required counseling interventions. Fagerstorm Test for Nicotine Dependence was used and individual sessions focusing on motivation and cognitive behavior conducted. A scheduled phone called was conducted.

Results: One hundred and sixty-eight (168) adult participants joined, 57 (34 %) quit smoking the first session after having a cardiac procedure, 52 (31 %) required reinforcement. At ONE YEAR 32 participants (19%) remained abstinent. Twenty-three (23) participants out of 168