Background: Non-communicable diseases (NCDs) mainly cardiovascular diseases (CVDs), cancer, chronic respiratory diseases (CRDs), and diabetes mellitus (DM) represent a leading threat to human health and development worldwide. satisfaction of patients holds great importance in primary health care (PHC) settings. However, there is a lack of sufficient consideration given to patient satisfaction. Objective: To assess the Quality of Non-Communicable Diseases Services Provided in family Health Centres and its Relation to Patients satisfaction in Alexandria. Settings: The study was carried out in sixteen family health centres affiliated to the Ministry of Health and Population (MOHP) in Alexandria. Subjects: A multistage systematic random sample was used to randomly select 25 patients from each of the previously mentioned settings, resulting in a total of 400 hypertensive and/ or diabetic patients. Tools: three tools were used. Tool one: “Patient semi structured interview schedule". Tool two: “The patient Satisfaction Questionnaire Short Form (PSQ-18)". Tool three: “Quality of non-communicable diseases services assessment tool " Results: The study showed that more than half (54%) of the patients expressed a moderate level of satisfaction with non-communicable diseases services. Furthermore, the overall mean quality performance of NCDs services was fair (74.52 ± 2.45). Conclusion: The findings of the present study revealed that all the studied family health centers had fair quality performance in the eight quality dimensions. The weakness was mostly observed in the areas of patient care and radiology services. Moreover, Quality of NCDs services was significantly related to patient satisfaction level. Recommendations: Strict adherence to the MOHP Accreditation Program Standards for PHC in providing NCDs services.