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The last few decades have witnessed fast economic growth and rapid urbanization in developing countries; this along with technological advances, including revolution in information technology worldwide has led to increased demands and new expectations of patients. Now increasingly knowledgeable patients armed with the information from media as a well as guidelines developed by health planners confront physicians with the expectation of quality care of highest standards. Health care organizations are operating in an extremely competitive environment, and patient satisfaction has become key to gaining and maintaining market share. All major players in the health care arena use satisfaction information when making decisions. Also, because much satisfaction data reflects care delivered by physician and other provider groups, this information is receiving close attention from consumers, employers, and accrediting organizations