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Improving patient satisfaction in a student-run free clinic setting presents unique challenges as free clinics often receive very high patient satisfaction scores. It may seem odd to label this “a problem”; however, this phenomenon may mask patient concerns and impede a clinic’s abilities to measure the effect of interventions on patient satisfaction. In this article we detail our experience with addressing patient satisfaction in a student-run free clinic, the approach we took, key lessons learned, and recommendations for future clinics creating project goals aimed at improving patient satisfaction.