Introduction: Childhood immunization is considered to be among the most effective preventive services, and is therefore critical to monitor and evaluate. Objectives: The study was conducted to determine attendants' satisfaction with child immunization services in four primary health care centers of New Cairo district; also skills check list to evaluate the immunization service was done. Methodology: A cross section study using an interview questionnaire was conducted on 550 attendants from four primary health care centers in new Cairo district. Systematic random sample of attendants every 7th attendant was interviewed after finishing his service to ascertain his levels of satisfaction with immunization service. Results: the highest satisfaction was reported in the resource availability and to immunization as a service; it was 94.9% and96% respectively). The least satisfaction was from waiting time and vaccine session, it was 62.3% and 51.4% respectively. Overall satisfaction in the present study was 74.4%. Highest satisfaction was reported to immunization as a service it was 96 % and least satisfaction was recorded from the vaccine session 51.4%.