Introduction: Minimally invasive gynecological surgery (MIGS) has revolutionized treatment approaches, but comprehensive assessments of patient-reported outcomes remain limited. This study aimed to evaluate patient satisfaction and quality of life following MIGS and identify factors influencing these outcomes. Methods: A cross-sectional survey was conducted among 240 patients who underwent MIGS procedures at a tertiary care hospital. Data were collected using validated instruments including the Patient Satisfaction Questionnaire (PSQ-18), EuroQol 5-Dimension 5-Level (EQ-5D-5L), and Female Sexual Function Index (FSFI). Multiple linear regression analysis was performed to identify factors associated with overall satisfaction. Results: Overall patient satisfaction was high (mean score 4.1/5), with highest satisfaction in interpersonal manner (4.5/5) and technical quality (4.3/5). Quality of life measures showed 75% of patients reporting no mobility problems and 60% reporting no pain/discomfort. The mean total FSFI score was 26.2, indicating generally satisfactory sexual function. Factors significantly associated with higher satisfaction included older age (β=0.15, p=0.003), higher education level (β=0.22, p<0.001), met preoperative expectations (β=0.35, p<0.001), and effective postoperative pain management (β=0.28, p<0.001). Conclusion: MIGS procedures are associated with high patient satisfaction and favorable quality of life outcomes. Meeting preoperative expectations and effective pain management are crucial factors influencing satisfaction. These findings emphasize the importance of comprehensive preoperative counseling, individualized care, and effective pain control strategies in optimizing patient experiences and outcomes following MIGS.