OBJECTIVES: Patient satisfaction is a crucial component of better health care outcomes. Recently, many patients voluntarily started to report their satisfaction on physicians using the Internet. Given these, there is need to evaluate the relationship between physicians’ attitude and patients’ satisfaction using the recent web-based survey data. METHODS: Data from a cross-sectional survey on the ratings of physicians using a convenience sampling were used to examine the relationship between physicians’ attitudes and patients’ satisfaction. The independent variable was the physician’s attitude, and the dependent variables were patients’ satisfaction with the physician and patients’ satisfaction with the office setting. RESULTS: A total of 273,994 patients were included. The average (standard deviation, SD) of patients’ satisfaction with the physician was 78.08 (0.14), and the average (SD) of patients’ satisfaction with the office setting was 78.62 (0.12) out of 100. Physicians’ attitude was a significant predicting factor on patients’ satisfaction with the physician (b = 8.71, p < 0.001) and the office setting (b = 7.03, p < 0.001). The predictor variables (physicians’ attitudes and covariates) accounted for 92.5% of the variance on satisfaction with their physicians. Additionally, both longer waiting times to get an appointment to see physicians and to see physicians after arriving at the office were highly correlated with lower patients’ satisfaction with their physicians (ρ = -0.26, p < 0.001 and  ρ = -0.32, p < 0.001, respectively) and the office setting (ρ = -0.43, p < 0.001 and  ρ = -0.50, p < 0.001, respectively) CONCLUSIONS: There is a strong relationship between perceptions of physicians’ friendliness/caring and patients’ satisfaction. Empathy skills can be significantly increased after taking targeted educational programs. To facilitate patients’ satisfaction with healthcare, a continuous effort to develop empathic ability of physicians should be undertaken so that patients perceive their empathic physicians.