Background: Improving antibiotic use is a public health imperative. One of the most important reported factors influencing inappropriate antibiotic prescription is patients' insistence on prescribing antibiotic. Objective (s): The aim of present study was to assess parents' satisfaction with antibiotics prescription for under 5 children in family health facilities in Alexandria governorate. Methods: A cross sectional study was conducted in four randomly selected family health facilities on a sample of 126 parents of under 5 children by using an interview questionnaire. Results & Conclusion: The results revealed that most of the parents (96.8%) were satisfied with the overall offered services to their sick children in the family health facilities and 98.6% would comply with the family physicians management, even if antibiotics were not prescribed, whereas the rest would seek a second medical advice at a private health facility