Very little empirical information is available about the influence of anxiety on overall patient satisfaction. In this study, the impact of different determinants of anxiety were investigated as well as the influence of anxiety on patient satisfaction. Moreover, the adjustments of care delivery made by some hospitals to reduce the impact of determinants of anxiety and to increase patient satisfaction were evaluated. The research question is: What are the effects of special adjustments of care delivery to reduce the impact of anxiety and what is the influence of anxiety on overall patient satisfaction of patients undergoing cataract surgery?