TQM plays an important role in hospitals. TQM is a well-known concept; it is a management philosophy of continuously improving the quality of products and processes. Total quality management is based on 3-principles continuous quality improvement, customer services, team work. Hospitals are by nature complex organizations and complexities are multifaceted in-service hospitals with a sense of lack of services. Quality has emerged as a major issue in the healthcare sector and total quality management has been recognized as the major long-term strategic plan to further improve the quality of health care. The primary data was analyzed for ANOVA, the research results showed the significant relationship. The implementation of TQM in service providers will require the quality management awareness, training and framework progress and customer awareness. The results provide significant information results in reaching conclusion and offering recommendations to management and concerned stakeholders.