Background: Staff satisfaction is a key determinant of workforce performance, service quality, and staff retention in healthcare settings. In fragile and post-conflict contexts such as Somalia, empirical evidence on staff satisfaction—particularly from private healthcare facilities—remains limited.To assess levels of staff satisfaction across multiple workplace domains and identify relative strengths and areas for improvement among employees at Royal Hospital in Mogadishu, Somalia. Methods: An analytical cross-sectional survey was conducted among staff at Royal Hospital. All eligible employees were invited to participate (N = 220), and 110 staff completed a structured self-administered questionnaire (response rate = 50.0%). Staff satisfaction was measured using a 24-item instrument covering eight domains and rated on a 5-point Likert scale. Domain scores were calculated as mean item scores. Descriptive statistics summarized participant characteristics and satisfaction outcomes, and internal consistency was assessed using Cronbach’s alpha. Results: Overall staff satisfaction was high, with mean scores clustering toward the upper end of the scale. The highest satisfaction was observed for job role and workload, work environment and teamwork, and overall satisfaction (all mean scores > 4.3). Moderate satisfaction was reported for leadership and communication, recognition, fairness, and learning and career development. Compensation and staff welfare recorded the lowest mean score (3.57), indicating a relative area of concern. The full satisfaction scale demonstrated excellent internal consistency (Cronbach’s α = 0.939). Conclusion: Staff at Royal Hospital reported generally high levels of satisfaction, reflecting strong organizational foundations in role clarity, teamwork, and the work environment. However, comparatively lower satisfaction with compensation and welfare highlights priority areas for targeted human resource interventions. Routine staff satisfaction assessments may support evidence-based management strategies to sustain a motivated healthcare workforce in resource-constrained settings.