This clinical outcomes study examined factors affecting patient satisfaction after treatment of Achilles tendon rupture. There were 35 patients; 14 treated nonsurgically and 21 treated by open surgical repair. A retrospective chart review was performed to determine the mechanism and type of injury, the time to treatment, any comorbidities, and the length of follow-up. Patients completed a questionnaire that evaluated their pre- and postinjury activity levels, occupation, and overall satisfaction with their function by using a visual analogue scale. The mean follow-up was 2 years. Seventy percent were very satisfied with the outcome of treatment, with a mean visual analogue score of 8.4 of 10. Age, sex, and occupation did not have any significant influence on the satisfaction level. The dissatisfied group showed a significantly reduced postinjury leisure activity level (P =. 003). A delay in initiation of treatment had a significant negative impact on satisfaction (P = .015). Regression analysis showed that physiotherapy after treatment increased the postinjury activity level and the level of satisfaction (P = .034). There was no significant difference in the overall outcome between the surgical and nonsurgical groups.