Introduction & Objective: Human have communicated between together since beginning creat-ion .the communication is importance for medical profession that needs to especial pay attention in the first .One of the quality indicators in health care service is method of healthcare communication whit patients and their satisfaction. 

Materials & Methods: This research was descriptive & analytic study that's main of aim was to determining patient satisfaction with approach communication in emergency department .data collection tool was questionnaire consisting of demographic data &questions related to approach communication that it completed through interview. The sample consisted of 100 patients and they selected a continuously sampling.

Results: The result indicated patient satisfaction with communication for doctor 50% and nurse 45%. Mean score was 27 ± 7.11. Also results show significant statistical deference among sex & level of education with patient satisfactions (P=0.002, P=0.004)

Conclusion: Finding showed patient satisfaction with communication was moderate that it isn't enough. it suggested the healthcare workers pay more attention of this issue with better education in university & continue education on the job, provision time , staff and support of management.