TRACT Background:Health service quality is the level of perfection of health services that organized in accordance with the code of ethics and service standards, so as to give satisfaction for each patient. Method: Research mix method with case study design. Quantitative samples are questionnaires (March - April 2017, n = 9). Qualitative samples are lung specialists, nurses, nutritionists and people who are involved in patient satisfaction with purposive sampling technique.Results and Discussion: Aspect Input: There is inpatients satisfaction at RS Respira Yogyakarta. This hospital takes a role in the quality of health services. One way is to provide the amount of equipment in Inpatient Installation according to the needs of patients, both in quality and quantity. Process: Development of patient satisfaction has involved the health service quality team.There are still obstacles in fulfilling patient satisfaction including non-routine satisfaction surveys, uneven knowledge, lack of ownership, low of Proffesional, evaluation of patient satisfaction is not done routinely. Output aspects: patients feel satisfied with service at RS Respira Yogyakarta. Conclusions and suggestions: Adding a specialist doctorbecause RS Respira Yogyakarta only has a Lung specialist doctor. The doctor is expected to provide an explanation of the disease to the patient regarding the diagnosis of the disease. Keywords: patient satisfaction, service quality, COPD