Social accountability is a significant approach to empower and engage communities to hold the government accountable and decide their priorities of development. Social accountability is considered as one of the main tools that contribute to the amelioration of the efficiency of fiscal policy. The promotion of social accountability mechanisms should be based on empowered civil society. This study assesses the status of social accountability in Egypt and its effectiveness based on analyzing the reality of Civil Society Organizations (CSOs). This study suggests that two uprisings in Egypt, in 2011 and 2013, were not enough to strengthen public participation and the involvement of CSOs in public policy making, in general, and fiscal policy, in particular. It indicates that the success of social accountability mechanisms in stopping the proposed International Monetary Fund (IMF) loan to Egypt in years 2011 and 2012 does not reflect a real change in the role of CSOs in shaping policies in the country.