Postpartum IUD insertion is associated with less discomfort, a lower risk of uterine perforation, and fewer side effects than interval IUD insertion. American College of Obstetricians and Gynecologists (ACOG) recommends providing contraceptive counseling during prenatal and postpartum services . Counseling plays an essential role in the family planning process. This study aims to determine the quality of pre-insertion counselling for intrauterine contraceptive device in postpartum patients at Indonesia tertiary referral hospital. This observational study used a cross-sectional design to assess the pre-insertion counselling quality of postpartum intrauterine contraceptive in Indonesia tertiary referral hospital. Questionnaires were given to research subjects who met the inclusion and did not meet exclusion criteria. Up to 128 subjects involved with consecutive sampling, while 20 people were taken randomly for questionnaire validation and 8 people were excluded from this study. The result showed that 66% of study subjects never used any type of contraception and subjects who were referral patients were 57 people (57%). Most of the subjects' attitudes towards postpartum IUD can considered good (88%), counsellors behaved well (88%), counselling process running well (41%). Most acceptors' knowledge and perceptions about IUD are good (55% and 92%). The quality of counselling of postpartum IUD pre-insertion at Indonesia tertiary referral hospital can be considered good.