Abstract Background: Refractive surgery has advanced significantly recently, leading to improved visual outcomes and increased patient satisfaction. This study aimed to assess vision quality, satisfaction, happiness, ability to perform daily activities, and postoperative symptoms among patients who underwent refractive surgery in Palestine. Materials and methods: This prospective observational study included 100 patients (69 females; mean age: 28.7±6.7) who underwent refractive surgery. Visual acuity and the spherical equivalent (SE) of manifest refraction were measured preoperatively and six months postoperatively. Patient satisfaction was evaluated via structured telephone interviews using a validated questionnaire covering demographics, motivations for surgery, satisfaction and happiness, and postoperative symptoms. Results: 86% of participants achieved uncorrected visual acuity (UCVA) between 0.0 and -0.2 logarithm of the minimum angle of resolution (logMAR), with a mean postoperative SE of -0.2±0.3D. A significant correlation was found between preoperative SE and postoperative UCVA (r=0.4; p=0.0), as well as between preoperative best-corrected visual acuity (BCVA) and postoperative UCVA (r=0.4; p=0.0). High levels of satisfaction (84%; mean score 3.8±0.3), happiness (90%; 3.9±0.3), goal achievement (93%; 3.9±0.2), improved quality of life (93%; 3.9±0.2), and willingness to recommend the procedure to others (96%; 3.9±0.2) were reported. Overall satisfaction was strongly correlated with both preoperative SE (r=0.8; p0.05). Conclusions: Refractive surgery would significantly improve vision, quality of life, and the ability to perform daily activities. The majority of patients were satisfied, pleased with the outcomes, and willing to recommend the surgery to others.
