This study aims to examine the impact of specific dimensions of tourism impacts on Hong Kong residents' satisfaction with the quality of life. While factor analysis is used to explore the attributes and dimensions of tourism impacts, multiple regression analysis is employed to determine the tourism impacts on residents' satisfaction with the quality of life. It is evident from the results that two of the five dimensions of tourism impacts have positive influence on residents' satisfaction. Image and infrastructure are found to be the important determinant factors in explaining the satisfaction. The impacts of environment, economy, and services in affecting satisfaction seem to be insignificant. In order to maintain tourism sustainability in Hong Kong, the local residents' perception should be taken into consideration. Recommendations are provided to achieve mutual benefits and harmonious development.