<h3>Objective:</h3> Assess patient satisfaction with the only neurology clinic in Zambia. <h3>Background:</h3> Zambia’s only outpatient neurology clinic operates two mornings weekly with approximately 50 patients seen each day on a first come-first served basis. In 2018, neurology residents were incorporated as providers within the clinic. Formal feedback has not been previously solicited from patients. <h3>Design/Methods:</h3> We distributed surveys in English, Nyanja and Bemba to patients in the neurology clinic over four weeks. No identifying information was collected, and participant responses were entered into a Qualtrics database. <h3>Results:</h3> 191 patients participated. Since attending the clinic, 46% reported understanding of their diagnoses improved, 20% reported medication modifications, 18% motor improvement or re-gained ambulation, and 14% better seizure control. The majority were at least “somewhat satisfied” with competence (89%) and communication skills (86%) of clinic doctors, time spent with the physician (90%), and with their follow-up plan (82%). When asked to compare the neurology clinic to other clinics they attended, patients reported superior diagnostics and treatment options, better physician bedside manner, and more time spent with patients. Half of participants were at least “somewhat unsatisfied” with wait times to be seen after arriving at the clinic. Still, most (56%) preferred to see the same neurologist each visit, while 17% preferred to see the first available provider and the rest were undecided/ambivalent. <h3>Conclusions:</h3> The Zambian neurology clinic provides diagnostic clarity for patients and better satisfaction with treatment plans and patient/doctor relationships than other clinics. Despite prolonged wait times, most patients preferred provider continuity over expedited care. Thus, hospitals in resource-limited settings should consider introducing specialist public sector clinics whenever possible and replacing “first available provider” models with “provider continuity” models to improve clinical care and patient satisfaction. Providing formal appointment times in lieu of a first come-first served appointment model may also improve patient satisfaction. <b>Disclosure:</b> Dr. DiBiase has nothing to disclose. The institution of Dr. Chiwaya has received research support from National Institute of Health . Mr. Giauque has nothing to disclose. The institution of Dr. Saylor has received research support from National Institutes of Health. The institution of Dr. Saylor has received research support from National Multiple Sclerosis Society. The institution of Dr. Saylor has received research support from American Academy of Neurology. The institution of Dr. Saylor has received research support from United States Department of State. Dr. Saylor has a non-compensated relationship as a Member of multiple committees and task forces focused on improving access to MS medications to people across the world with Multiple Sclerosis International Federation that is relevant to AAN interests or activities. Dr. Saylor has a non-compensated relationship as a Member of the Neurology and COVID19 committee with World Health Organization that is relevant to AAN interests or activities. Dr. Saylor has a non-compensated relationship as a Member of the International Outreach Committee, Junior and Early Career Membership Committee, and Educational Innovation Commitees with American Neurological Association that is relevant to AAN interests or activities.