Objective This paper analyzes Tianjin residents’ satisfaction with TCM medical services and its influencing factors, in order to provide reference for giving full play to social and economic benefits of TCM. Methods Using both stratified and random sampling method, Six hospitals from Heping, Jinghai and Beichen were selected, and 260 residents conducted questionnaires. Result Residents’ satisfaction rate of TCM medical service was 22.2 %. TCM knowledge propaganda and TCM price satisfaction score were the highest ( 3.5 ), and TCM curative effect score was the lowest ( 2.3 ).Logistic regression showed that gender, TCM knowledge propaganda, medical equipment, medical distance, medical convenience and reimbursement ratio had significant effects on residents’ satisfaction(P < 0.05).Conclusion Tianjin residents have low satisfaction with TCM medical services, so it is suggested to accelerate the innovation of TCM technology, improve the effect of TCM treatment, rationally allocate TCM medical resources, and improve the satisfaction of residents.