Background: Assessing elderly expectations and satisfaction with care can help developing better PHC community services to them. Aim: to identify the relationship between patients' expectations and their satisfaction with service quality in outpatient clinics. Methods: cross-sectional analytic study was conducted in the outpatient departments of the Health Insurance Hospitals in Beni-Suef and Al-Fayoum Governorates as a day-care services for old age on a consecutive non-probability sample of 195 elderly attending the settings. Data were collected using an interview questionnaire including the modified SERVQUAL tool to assess elderly expectations of and satisfaction with the day care services.The work was done from February to July 2020. Results: Elderly patients' age was mostly