BACKGROUND: As in any hospital and any department, patients attending ENT OPD clinic have their own expectations about how they are going to be handled throughout the provision of the services they are required to get. This is what determines their level of satisfaction. Patients’ Satisfaction is a measure of which a patient is content with the health services they receive. OBJECTIVES: To determine the level patients’ satisfaction with health services and its association with social demographic and the satisfaction domains among patients attending ENT out-patient department (OPD) of Kilimanjaro Christian Medical Centre (KCMC). METHODOLOGY: Analytical cross sectional study was conducted at the KCMC ENT Out-patient department. Participants were selected using systematic sampling technique to get a sample of 100 and data were collected by using servqual questionnaires. Data collected were analyzed by using the Statistical Package for Social Sciences (SPSS) program and will be presented in percentages. RESULTS:The overall mean gap in health services provision at ENT outpatient department was -19.26 (SD 16.03), which signifies overall dissatisfaction among study participants. The overall mean gap ranged from -58 to 9 between expectation and perception on health services provision. CONCLUSION;The study results showed that patients were not satisfied with the services provided at ENT outpatient department, because of the negative gap between perception and expectation. This means expectations of most of the patients were not met. There is a great need of improving quality of health services at this department.