Background: Patient satisfaction is one of the important indicators for quality of care. It is one of the meaningful indicators of patient experience of health care services. Asking patients what they think about the care and treatment they have received is an important step towards improving the quality of care and to ensuring that local health services are meeting patients’ needs. However, there is still a gap in literature on the level of patient satisfaction in gynecologic care in Ethiopia. Objective: The objective of the study was to compare the levels of patient satisfaction between government and non-government hospitals and associated factors among mothers admitted to gynecological wards in Bahir Dar city, North West Ethiopia, 2022. Methods: an institution-based comparative cross-sectional study was conducted among 720 women admitted to gynecologic ward using Consecutive sampling methods in governmental and non-governmental hospitals from September to November 2021. Data entry and analysis were performed using EPI data 3.1 and SPSS version 23 respectively. Bi-variable and multi-variable logistic regression was used to identify factors associated with patient satisfaction. Adjusted Odd Ratios (AOR) with 95% confidence intervals was computed and statistical significance was declared at p < 0.05. Result: The magnitude of patient satisfaction among non-government hospitals was higher (P = 76.7%, 95% CI = 71.9% - 81.1%) than government hospitals (P = 33.6%; 95% CI = 28.9%–38.9%). Variables like education (AOR= 0.22,95% CI= 0.08 0.54) and AOR=0.21,95% CI= 0.09 0.49), residency (AOR= 3.02, 95%= 1.68 5.41), admission history ( AOR= 1.71,95%CI=1.04 2.81), and presence of other disease (AOR=0.27 ,95% CI= 0.12 0.59) were factors associated satisfaction in governmental hospitals while variables like age (AOR = 3.6, 95% =1.2 10.0), education (AOR =3.8, 95% CI = 1.2 12.1), marital status (AOR= 2.7, 95% CI = 1.4 5.2), length of hospital stay (AOR= 0.38, 95% CI = 0.1 0.7) were variables associated with satisfaction in non-government hospitals. Conclusion and recommendation: Patient satisfaction was higher in private health facilities compared to public health facility, Variables such as age, education, marital status, residence and history of admission were found to be independent predictors of inpatient care satisfaction. Therefore, need concerted effort to improve gynecological satisfaction and pay due attention to the residency, presence of other disease, and the neatness of the facilities in public hospitals.