Background Many hospitals continue to struggle to improve patient satisfaction as the identification of tangible quality improvement areas remains difficult Medicare hospital payments are linked to patient satisfaction and hospitals\u27 HCAHPS scores, which has contributed to the growing influence of patient satisfaction measures Investigation into the major drivers of patient satisfaction in the pediatric clinical arena has not been thoroughly pursued To determine the main drivers of patient experience in pediatric orthopaedics, we performed an analysis of patient satisfaction surveys collected from outpatient pediatric orthopaedic practices at 5 locations in 3 states Hypothesis: the patient-physician relationship is the most important factor in patients\u27 assessment of their experiences These results may have significance in aiding pediatric orthopaedic clinics in their Quality Assurance/Quality Improvement plans of enhancing the patient experiencehttps://jdc.jefferson.edu/pedsposters/1000/thumbnail.jp