Objective: This study aims to assess patient satisfaction according to the shape and function of the nose using a rhinoplasty outcome evaluation (ROE) questionnaire, pre, and post rhinoplasty procedure. 
 Methods: A prospective study of sixty-five rhinoplasty patients who underwent open rhinoplasty procedures, including other nasal procedures like septoplasty or turbinoplasty in Sulaimani Surgical Teaching Hospital, department of oral maxillofacial surgery. The Rhinoplasty Outcome Evaluation (ROE) questionnaire was used for esthetic and functional assessment. 
 Results: In this study, sixty-five patients participated by completing the questionnaires and the follow-up period. The main reasons for rhinoplasty in our patients were: esthetic 55.4% (n=36), functional 3.1 %( n=2), and a combination of both in 41.5% (n=27) patients. Although there were no statistically significant gender differences for outcomes of rhinoplasty, statistically significant improvements were identified between the preoperative and postoperative scores for both genders. In the preoperative stage, patients recorded worse scores for anxiety and insecurity (p < 0.05). There were no differences in gender, age, cause, or literacy level in the mean postoperative scores (p > 0.05). 
 Conclusions: The present study suggests that the rhinoplasty cases carried out by maxillofacial surgeons have high satisfaction rates regarding final esthetic and functional results. The rhinoplasty results have a great psychological impact on the patients’ lives.