Background: The rapid evolution of telemedicine, particularly accelerated by the COVID-19pandemic, has presented both profound opportunities and significant challenges in patient care. This study explored patient satisfaction, challenges, and strategies to improve telemedicine. Aims and objective: To study patients atisfaction, and the challenges & suggest strategies to improve telemedicine. Material and method: The study was carried out at St. Stephan's Hospital, a tertiary care multi-specialty hospital located in New Delhi, India. It included patients aged 18 and above who utilized telemedicine services from the hospital between June 2020 and March 2022. Participation in the study required patients to provide written informed consent. A total of 108 patients were recruited for the study,