Background: Client satisfaction and the quality of health services are key components for the long-term success of healthcare facilities. Aim: To assess the level of youth satisfaction and the factors associated with the level of youth satisfaction with health services provided at Family Health Care Centers in Alexandria. Settings: The study was carried out in 16 Family Health Centers covering 8 health zones affiliated with the Ministry of Health in Alexandria Governorate, Egypt, which were selected randomly. Research design: A descriptive research design was adopted. Subjects: The study was conducted on 400 youth (25 youth from each Center) who were attending the selected family health centers, they were selected conveniently. Tools: three tools were used. Tool one: Youth Profile Structured Interview Schedule. Tool two: Youth Satisfaction Scale about Family Health Centers' Services. Tool three: Observational Checklist of Family Health Centers and Services. Results: The study showed that less than two-thirds (64.8%) of the studied youth had a high level of satisfaction, and only 7.0% of them had a low level of satisfaction. The majority (87.5%) of the studied health centers had a high level of quality. A statistically significant relation was observed between the mean scores of the studied youth's satisfaction and the mean score of quality services provided at the studied health centers (r=0.764, P = 0.000). Conclusion: Based upon the study findings it could be concluded that several factors were found to be significantly related to the studied youth's satisfaction grouped into demographic factors including place of residence, and occupation and health care services utilization factors including the number of visits of the health center, reporting problems to managers, and solving such reported problems. Recommendations: Youth satisfaction surveys should be conducted on an ongoing basis to assess youth' views on services they have received at family health centers and facilities.