Introduction: physicians have a crucial role in health service delivery and therefore their job satisfaction may lead to improved quality in patient care and may cut down costs of care by reducing patient stay in the hospital. The aim of this study was to determine the job satisfaction level and its associated factors among medical doctors at Al kadhimiya teaching hospital. Methods: A cross sectional study was conducted at Al Kadhimiya teaching hospital, a tertiary referral center in the north of Baghdad, Iraq. Any medical doctor who worked at the hospital and completed three months of service at time this research was conducted had been invited to participate. The research questionnaires distribution time took place from January 9th 2013- March 30th 2013 Results: 327 medical doctors participated in this study. Mean age was 35.8±8 years. 43.4% were between 30-39 years old. 60.2% of the sample were male, 75.2% were married, 72.2% held MBCH degree, 72.2% earn 1-2 million Iraqi Dinar monthly, No one evaluated his/her residential housing as excellent, No one evaluated his/her food service as excellent, 55.7% will choose to be medical doctors again, 59.6% did not have private practice, 53.8% were Permanent resident doctors (medical board or medical diploma trainee). Only 12.5% of the participating medical doctors were satisfied with their job. Pay was the least satisfactory factor and the nature of work was the only factor that medical doctor at Al Kadhimiya Teaching hospital were found to be satisfied with. Conclusion: Lower level needs of medical doctors were not fulfilled at Al Kadhimiya teaching hospital. Recommendation: the main recommendations this study is: The hospital food service and the doctors' housing to be improved. The maximum weekly working hours of medical doctors (including night shifts) to be specified to a limit. Monetary and non monetary rewards to be emphasized based on erformance. Hospital parking garage to be expanded and reorganized. Hospital guards to be present in the emergency ward around the clock.