There are 46 Aloe species identified from Ethiopia out of which 67.3% are endemics but comprehensive data on their ethno-medicinal and bio-cultural values are lacking. Interview, focus group discussion (FGD), and guided field walks were conducted with 210 respondents (152 men and 58 women). Relative frequency of citation (RFC s ), informants' consensus factor (F ic ), use value (UV s ), relative importance index (RI s ), and cultural value index (CV) were analyzed. Non-parametric Kruskal Wallis and Wilcoxon tests were performed using R software. Twenty-three Aloe species were recorded in the study areas with 196 use-reports and 2158 citations, grouped into six major use categories (N UC ¼ 6). Medicinal use categories accounted for 149 use-reports (76%) with 1607 citations. The species with the highest numbers of use-reports were Aloe megalacantha subsp. alticola, A. trichosantha subsp. longiflora and A. calidophila of which 87, 75 and 61.1% respectively were medicinal uses. Aloe calidophila has highest values in all indices UV (11.72), RFC (0.68), RI (0.89), and CV (6.2). Among Aloe parts, leaf exudate accounted for 111 use-reports (49.1%) of which 92.9% were used for medicinal purposes. Aloe retrospiciens and A. ruspoliana were reported poisonous to carnivores. F ic values of the six major use categories ranged from 0.86 to 0.22. Elderly people (>60) had more knowledge than 25-40 and 41-60 age groups (Kruskal-Wallis chi-squared ¼ 12.17, df ¼ 3, p ¼ 0.006), which is significant difference in depth of ethno-medicinal knowledge. Men had more knowledge of medicinal uses than women (Wilcoxon test, p ¼ 0.002) significantly different, while women were knowledgeable than men for cultural uses like, cosmetic (Wilcoxon test, p ¼ 0.06), not significantly different. The ways in which aloes are used and valued have implications for their future medicinal utility, which instigate detailed phytochemical and pharmacological studies.