Visceral leishmaniasis(VL) or kala-azar is one of the world most neglected tropical diseases in mortality and fourth in morbidity, rK39 dipstick was used to diagnose the suspected infected patients as easiest and rapid technique for VL diagnostic, the disease out-coming required to the differentiation of cell mediated immunity either T-helper 1(Th-1) or (Th-2). One of main pointers that may be considered as one of immune evasion strategy in the host-parasite interplay is HLA-G level alteration. HLA-G Known as a special proteins (non-classical HLA class I) molecules which can suppress the immune system by T-cell functions impaired in the aid with target receptors as LILRB4. The development of the cell mediated immunity initiated with Interleukin-12(IL-12) production by antigen presenting cells (APCs) that induce Interferon-³ (IFN-³)-secreting (Th-1) T cells. The sudden modification in IL-12 level may be referred to some-thing wrong occurred in vivo and the induction may be positively or negatively to naïve T-lymphocytic cell activation as immunity response. So, this study aimed to investigate the alteration in sHLA-G and its receptor levels could be impressed the mean level of IL-12 in VL patients, also tried to finding any correlation between them. All patients scored high significant (P< 0.01) increase level in sHLA-G and its receptor with mean of (17.951± 7.78 ng/ml) for sHLA-G in comparison to control group (0.177± 0.12ng/ml) and high significant (P< 0.01) expression of LILRB4 receptor for sHLA-G on different immune cells (5.149 ± 2.043ng/ml) in comparison to control group (0.279± 0.012 ng/ml). While, the result showed high significant increased (P<0.01) of IL-12 (249.094± 79.37 pg/ml) in comparison to control group (25.079 ± 3.19 pg/ml) with significant linear positive correlation between this cytokine and sHLA-G and its receptor.