Background: - Ethiopia has fairly good coverage but very low utilization of health care services.rnEmergency medical care services require fast, correct and curious services to clients as they presentrnwith acute problems (37). Patients have the right to expect Quality of care. Patient satisfaction withrnemergence care service is considered an important factor in explaining patients' perceptions ofrnservice criteria is far from ideal if as a result of that care the patient is unhappy or dissatisfied.rnThere is, a sound rationale for making the organization and delivery of health care responsive tornconsumer opinion Currently, research is interested to the satisfaction in several areas, and in variousrncultures. The aim of this study is to evaluate patient satisfaction with emergency care, and torndetermine associated factors with patient satisfaction.rnObjective: -The objective of this study is to determine the rate of patient satisfaction inrnemergency medical service as indicated by patients’ satisfaction.rnMethods: - A Cross-Sectional Survey was conducted at Hawassa University Referral Hospitalrnemergency outpatient department from Dec 2013G.C. to June.2014 G.C. The study population wasrnall adult patients who visit emergency room of Hawassa University Referral Hosoital and also allrnpediatric emergency room of the hospital.rnResults: The data was collected from both adult and pediatric Emergency out Patient Departmentrnof Hawassa University Referral Hospital one hundred seventy eight (42.1%) & two hundred fortyrnfive (57.9%) respectively In this study total of four hundred twenty three patients and attendants arerninvolved during the data collection period. Overall satisfaction level of Hawassa University ReferralrnHospital is 55.9% participants are dissatisfied with the Hospital emergency medical servicerndelivered & 44.1% are satisfied.rnConclusion: The study findings indicated the need for evidence-based interventions in emergencyrncare services in areas such as speed of reception area, medical care, well control of pain, nursingrncare, courtesy of staff, physical comfort and waiting time. Efforts should focus on shortening waitingrnintervals and improving patients' perceptions about waiting in the Emergency Department, keepingrnprivate personal privacy, having two way good communications between nurses & patients, nursesrn& patient relatives, doctors & patients, doctors & relatives as well and also improving the overallrncleanliness of the emergency room & latrine