Additional studies were identified by using a "berry-picking" method. Search limits were: primary studies; English language; and involving human subjects. Qualitative peer reviewed articles describing patient satisfaction in outpatient musculoskeletal physiotherapy were eligible for inclusion. Two reviewers critically appraised eligible studies independently using the Critical Appraisal of Skills Programme tool for qualitative studies. Extracted verbatim data of included studies were synthesized using the meta-summary and meta-synthesis by using a purpose-designed form. Results: 11 studies were included in the review. Factors influencing patient satisfaction were grouped into six broad themes: 1) clinical outcomes; 2) physiotherapist features; 3) patient features; 4) physiotherapist-patient relationship; 5) treatment features, and 6) healthcare setting features. Conclusions: These findings suggest that patient satisfaction in outpatient musculoskeletal physiotherapy is a multidimensional construct influenced by individual patient/provider, clinical and contextual factors. Future reviews should include a synthesis of findings from both qualitative and quantitative studies to establish a fully comprehensive understanding of this complex health phenomenon.