The interpersonal relationship was important factor to gain upgrading birth services. There was decline of birth rate from 2014 to 2015, which following with several patient unsatisfaction in interpersonal relationship include the aspect of communication and humanistic in Roemani Muhammadiyah Semarang hospital. This research purpose to analysed the effect of interpersonal relationship toward birth satisfaction in Roemani Muhammadiyah Semarang hospital. A cross sectional that involved an exit interview was conduct from July to August 2016. A total of 79 women were enrolled in the study that ful ll the inclusion and exclusion criteria. The interpersonal relationship and birth satisfaction were measured using survey instruments from the transforming maternity team consept and birth satisfaction journalwhich measured the reliability and validity test The linier regression were applied. The majority of the patients (94,9%) were 21- 40 years old, 67,1% were univercity graduated, 40,5% were housewife, 62% were multigravida, and 57% were delivered by cesarean section. There was signi cant effect between interpersonal relationship and birth satisfaction (p=0,0001). The better interpersonal relationship between patient and medical staff could appear patient safety and high level of trust that can raise the birth satisfaction.The respon time to early service for less than 15 minutes was the patient prospect from interpersonal relationship aspect.