Background: Satisfaction among residents of institutions is an important issue. Several factors affect the elderly satisfaction as socio-demographic characteristics, health status, expectations about care, the structure, the process and the out come of the services. Objective: The present study aimed to assess the degree of satisfaction among elderly homes' residents in Alexandria. Methods: The sample included all elders living in the governmental homes in Alexandria who accepted to participate in the study. Data was collected using a structured interview sheet to obtain information about the general characteristics of the elderly, assessment of their functional abilities, and a consumer satisfaction tool which was translated and tested for content validity and reliability. Results: The results revealed that the majority of the residents were either satisfied or very satisfied with the total satisfaction score of all satisfaction's domains (48.9%, 43.1% respectively), while only 8.1% of the elderly were dissatisfied. Conclusion and Recommendations: Regular monitoring and evaluation of services provided at the elderly homes to ensure a best quality of care at them.