This study was conducted to assess the health service delivery and customer satisfaction of thernservice offered to outpatients in Menelik II Hospital in Addis Abeba. A cross sectional,rndescriptive study was conducted on a sample of 102 service users of the indicated hospital usingrnconvenience samples of non- random sampling technique. Data were collected using structuredrnquestionnaire and analyzed by SPSS windows version 20.0. Logistic regression model was alsornused to examine the effect of selected variables on patientsâ€™ satisfaction with hospital services.rnAmong the 102 outpatients, 65.7% were satisfied with pre- medical services while 34.30% wererndissatisfied. Besides, 70.62% of the outpatients were satisfied with the overall health servicerndeliveries. Furthermore, 82.35% of the outpatients were also relatively satisfied with the abilityrnof the doctor to answer patientâ€™s questions while 40.2% were relatively highly dissatisfied withrnthe information provided about the hospital services and flow. On the other hand, the overallrnpatientsâ€™ satisfaction towards health service deliveries has also showed statistically significantrnassociation with the availability of drugs and laboratory test as well as with the hospitalrnmanagement to solving their problems. Moreover, this study also showed that the overallrnsatisfaction of patients towards pre-medical services was significantly associated with that of thernsatisfaction of patients towards health service deliveries. Therefore, those patients who wererndissatisfied with pre-medical services have a high tendency to be dissatisfied with hospitalrnservices.rnKey words: satisfaction, customer satisfaction, service delivery, service quality