OBJECTIVES: To determine the attitude of physicians in three family medicine centers (FMCs) at the National Guard Health Affairs (NGHA) toward the implementation of the Shared Medical Appointment (SMA) approach compared to the current individual appointment approach. METHODS: A cross-sectional survey study was conducted by distributing a structured questionnaire among the 79 FMCs’ physicians at NGHA in Riyadh, Saudi Arabia. The first part of the questionnaire was an introduction, the second part has requested socio-demographic information, and the third part consisted of 12 statements measuring physicians’ attitude toward implementing SMA and the current individual appointment approach. Responses were measured using 5-points Likert Scale. 79 self-administered questionnaires were distributed to physicians’ mail-boxes and the completed questionnaires were collected from mail-boxes at each clinic. Data collection was done from December 10 to 15, 2011. Data were entered and analyzed by the Statistical Package for Social Science (SPSS.16). Descriptive analysis was conducted using frequencies, percentages, and mean (SD). Inferential analysis was conducted using one way ANOVA and Mann-Whitney tests to detect statistically significant differences in responses. A significance level of 0.05 was used. The validity and reliability of the instrument was measured using Pearson's correlation and Cronbach's Alpha, respectively. RESULTS: 78 valid questionnaires were returned yielding a response rate of 99 %. The average attitude scores were 3.75 toward the SMA approach and 2.98 toward the current Individual Appointment approach. The average attitude scores were significantly different at all dimensions (Mann Whtiney P-value <0.001) in favor of SMA except for patient privacy which was in favor of current individual appointment approach. Subgroup analysis by socio-demographic variables indicated that males and Saudi national physicians have higher positive attitude toward SMA. CONCLUSIONS: There is positive attitude of all physicians toward SMA compared to the current individual appointment approach. This attitude was affected by gender and nationality.