Direct presidential elections were held for the first time in Uzbekistan on 29 December 1991. Their result was a victory for Islam Karimov of the People's Democratic Party of Uzbekistan, who won with 87% of the vote. Voter turnout was reported to be 94%. The elections were held alongside an independence referendum.
The elections were the only presidential elections in Uzbekistan to date to feature a genuine opposition candidate. Every election since has been considered to feature only token opposition candidates. Karimov later ruled until his death in 2016.