Objectives: this study aimed to investigate the rate of satisfaction among patients following orthodontic treatment in Qassim region and to determine the factors that affected their satisfaction levels. Materials and Methods: A cross-sectional study was conducted among secondary school and university students in qassim region. In which, anonymous questionnaires were distributed to former orthodontic students asking them about their orthodontic experiences. Statistical analysis including basic descriptive statistics and chi-square test were done using SPSS software version 16.0. Results: The final sample consisted of 200 subjects (response rate 76.05%) with mean treatment duration of 2.143 years. Most respondents (90%) were satisfied with the overall treatment results. Also, patient perceptions of psychological benefits of treatment were mainly positive (94%). Moreover, (91%) have noticed an improvement of their chewing ability. However they showed less satisfaction regarding other services, (34.5%) of respondents were dissatisfied with the waiting time before the appointment, and (24.5%) were dissatisfied about the treatment duration. Among the studied subjects, study revealed that (24%) of the subjects reported being unsatisfied with their orthodontist and a statistical significant difference was found between those who were satisfied with their orthodontists and those who weren’t regarding the following factors: answering to patients’ questions by the orthodontists (P=.001), gentleness of the orthodontists (P=.001), gentleness of the dental assistants (P=.014) and orthodontists’ honesty about treatment duration (P=.002). Conclusions: the majority of patients who had received orthodontic treatment were satisfied with the overall treatment outcomes. Orthodontists should be aware that a good relationship with the patient might be even more important for the patient than just a technical successful treatment alone.