The study investigated factors influencing chronic disease patients' satisfaction with primary health care services in Saudi Arabia through online semi-structured interviews with 46 patients. The majority of participants were female, 66% were over 50 years old, 70% were married, 65% had a university degree, and 17% earned less than SAR 5,000 per month; almost half had three or more chronic diseases. Thematic analysis using NVivo software revealed five main themes: access to care, respect for patient values and needs, coordination and integration of care, information, communication and education, emotional and mental support, and transition and continuity. Dissatisfaction persists especially among the elderly, residents of remote areas and people with low literacy, with concerns about lack of interaction, privacy and exclusion from decision-making. Patients emphasized the need for an ongoing connection with a physician that fosters a positive relationship, recognizes their competence, ensures effective communication, and addresses mental health. The study recommends adjustments in medical education, health systems and regulations to promote an effective doctor-patient relationship.