Background: Saudi Arabia’s Vision 2030 and the Health Sector Transformation Program aim to improve the quality and accessibility of healthcare, including rehabilitative services. Evaluating their impact is essential to guide future policy and practice. We aimed to assess patient satisfaction with rehabilitative healthcare services in Riyadh in the context of Vision 2030 initiatives. Methods: A descriptive cross sectional study was conducted between January and February 2024 among Saudi citizens receiving rehabilitative care in Riyadh. Convenience sampling yielded 207 valid responses via paper and electronic questionnaires. The survey collected socio-demographic data and measured satisfaction in six domains: Vision 2030’s impact, patient experiences, social media influence, digital platform integration, cost and community effects, and service utilization obstacles. Responses were rated on a five-point Likert scale. Data were analyzed using SPSS v28 with descriptive statistics, Cronbach’s alpha, and Pearson correlations. Results: Overall satisfaction was moderate to high, with respondents reporting improvements in pain management, functional abilities, and access to information through digital platforms. Positive impacts were noted in service accessibility and quality, aligning with Vision 2030 objectives. However, gaps remained in patient involvement in decision-making, communication about treatment side effects, and addressing resource constraints. Conclusion: Vision 2030 has positively influenced rehabilitative healthcare in Riyadh, enhancing service quality, accessibility, and patient outcomes. Strengthening communication, expanding professional development, and addressing safety and resource issues will further optimize services and contribute to national health goals.