This study evaluates the quality of care and patient satisfaction across three eye hospitals in Nepal: Rapti Eye Hospital, Lamahi Eye Hospital, and Chhanda Kalebabu Eye Hospital. Although these institutions operate under the same overarching management, they are situated in different locations and governed by distinct administrative management subcommittees. The main purpose of the study is to identify differences in patient satisfaction levels among the three hospitals. Additionally, the research seeks to assess the effectiveness of management, recognizing that while these hospitals share a common management board, the quality of care is heavily influenced by the technical and administrative leadership unique to each hospital. A total of 300 patients were surveyed—100 from each hospital—using the SERVQUAL model questionnaire to measure patient satisfaction, a critical indicator of healthcare service quality. The findings reveal key insights into each hospital's performance, highlighting areas of strength and potential improvement. By understanding patient satisfaction levels, hospital management can address weaker aspects of service delivery and enhance overall patient care. This research underscores the importance of patient feedback in evaluating hospital services and informs strategic efforts for continuous improvement in the healthcare system.