Idris IM, et al. - Given the significance of satisfaction of mothers during cesarean section for measuring quality of obstetric anesthesia, researchers here examined mothers’ level of satisfaction and the predicting factors of dissatisfaction towards spinal anesthesia during caesarean section. They using cross-sectional study design in Orotta Maternity Hospital and Sembel Hospital from December 2017 to February 2018, in Asmara, Eritrea. A pretested questionnaire was used to determine satisfaction of the mothers. The two least reported items were involvement of mothers in the choice of anesthesia (3.3%) and explanation about the stay at operating theater (10%). Although considerably fair overall satisfaction was reported, preoperative assessment is considerably low. Significant predictors of dissatisfaction towards spinal anesthesia were hospital at which anesthesia was administered, marital status, and intraoperative pain. Findings thereby emphasize the great significance of explaining the benefits and risks of the anesthetic techniques as well as considering patient’s opinion while deciding the type of anesthesia.