Introduction: Childbirth is one-day event but the experience lasts lifelong and is shared with others. Client dissatisfaction at public health hospitals causes parturient women to do health care shopping to private hospitals and decrease utilization of service at public heath hospitals. The aim of this study was to assess client satisfaction and associated factors at public health hospitals in Hawassa city. Method: A hospital based cross sectional study was conducted from December to January 2015. A systematic sampling technique was applied, and 398 mothers who gave live births were included in the study subjects. Data were entered into EPI info version 7.1 statistical software and exported to SPSS version 20 for analysis. Bivariate and multivariate analysis was applied to check the association of explanatory variables with outcome variable. Result: In public health hospitals, clients’ satisfaction at three dimensions was 87.7%. Non-formal education (AOR=6.8, 95 % CI: 1.2-38.7), had primary education (AOR=4.25, 95 % CI: 1.4-13.2) and getting prompt attention by caregivers within five minutes (AOR= 5, 95 % CI: 2.08-12.03). Being a student (AOR=0.16, 95 % CI: 0.05-0.59) and instrumental delivery (AOR=0.19, 95 % CI: 0.06-0.69). Conclusion: This study showed that client satisfaction is better than other public hospitals on delivery service. There is needed to intervene on predictors of maternal dissatisfaction like being a student, instrumental delivery and waiting time to get obstetric care providers and points to improve and strengthen for better maternal satisfaction.