This study focuses on the acceptance of long-term contraceptive methods and its related factors among the eligible couples in the rural area of Bangladesh. Among the respondents sixty were acceptors and one hundred seventy were non-acceptors of long-term contraceptive methods. Socio-demographic characteristics of the both acceptors and non-acceptors of long-term contraceptive methods were same except their age. Acceptors of long-term contraceptive method were older than the non-acceptors. Regarding the reproductive characteristics acceptors were married for longer time than non acceptors. There was significant association between acceptance of long term method and number of male children and desired additional children.