The good services quality will lead to the patient’s satisfaction, which will contribute to the medical tourism industry. The purpose of this paper is to explore the determinants of GREEN healthcare service quality to the patient’s satisfaction. The conceptual framework of this paper construct based on the literature review was identifies five factors to investigate medical industry in Malaysia perceived service quality and satisfaction. The finding of this paper has provide evidence that Hospital Accessibility, Medical cost, Quality of administrative, Quality of healthcare personnel and Green Awareness has a significance relationship with the patient’s satisfaction. This study has managed to study on the elements o fservices quality that will influence satisfaction of medical tourist in Malaysia.