Abstract: Malang Regencys category D hospital, Hospital X, may be found here. Approximately 70% of patients interviewed during the pilot research of 25 inpatients said they were happy with the hospitals services and had faith in such services. More than a third of those polled said they were not happy and would no longer trust the institution. The studys goal was to examine how patient satisfaction with the hospitals service quality impacts the hospitals reputation. Quantitative research methods and a cross-sectional research design are employed in this study.