Our objective was to investigate the knowledge, use and attitude towards emergency contraceptive pills among female undergraduates. This was done using a randomly selected sample of female undergraduate students at three tertiary institutions in Enugu, Nigeria. The majority of the respondents (95%) were aware of contraception. However, 61% of the female undergraduates had heard of emergency contraception but only 31% had actually used it. The most common source of information about emergency contraceptive pills was from friends and teachers. Most respondents (19%) used Postinor rather than other types. While using emergency contraception, 16% got pregnant, of whom 9% carried the pregnancy to term and delivered the baby while (10%) procured an illegal abortion. Increased utilization of emergency contraception is plagued with fear of infertility, anovulation, ill health and sexually transmitted infection. Though 40% of the female undergraduates accepted it when informed and would recommend it to other female students, more information dissemination is required to further create awareness and enhance wider acceptance. Awareness programmes should address the barriers to effective use of ECP preferably using peer educators and the media.