Background: Patient satisfaction is a key indicator of perioperative care quality, yet data from low- and middle-income countries on satisfaction with anaesthesia evaluation remain limited. This study aimed to determine the frequency of patient satisfaction with perioperative anaesthesia evaluation and identify associated demographic factors among elective surgical patients.

Methods: This cross-sectional study was conducted at the Department of Anaesthesia, National Institute of Cardiovascular Diseases, Karachi, over six months (January–June 2023). Adult patients (18–70 years) undergoing elective surgery and perioperative anaesthesia evaluation were enrolled consecutively (n=155). Satisfaction was assessed using the Urdu-adapted Leiden Perioperative Care Patient Satisfaction Questionnaire (LPPSq; Cronbach's α=0.721), with participants scoring ≥75% of the maximum score classified as satisfied. Associations between satisfaction and demographic/socioeconomic variables were examined using the Chi-square or Fisher's exact test, with p≤0.05 considered significant.

Results: Of 155 participants (mean age 50.1±10.2 years; 52.9% female), 116 (74.8%) were classified as satisfied with perioperative anaesthesia evaluation. Satisfaction was significantly higher among patients aged 46–70 years versus 18–45 years (81.3% vs. 60.4%, p=0.01). Educational status was also significantly associated with satisfaction (p=0.01): satisfaction was highest among illiterate (100%) and higher-educated (100%) participants, and lowest among those with primary (66.7%) and secondary (59.7%) education. Gender, residence, occupational status, and family income showed no significant association with satisfaction (all p>0.05).

Conclusion: Nearly three-quarters of elective surgical patients reported satisfaction with perioperative anaesthesia evaluation. Age and educational status, but not socioeconomic factors, were significantly associated with satisfaction, suggesting that tailored, education-sensitive perioperative communication may improve patient experience, particularly among middle-education-level patients.

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