Abstract: Objective Comparing the differences of, and analyzing the positive and negative effects of doctors, to provide the reference for improving the attending charge system. Methods Using Minnesota Satisfaction Questionnaire to research and compare the doctors’ career satisfaction before and after the implementation of the attending charge system. Results After the introduction of the attending charge system, workload, work time and income showed a trend of increase, but the score of the doctors’ career satisfaction significantly improved(t =6.307, P <0.001). Then, there are seven satisfaction items significantly increased, two items significantly reduced. Conclusion The attending charge system has changed the management process, realize the energy management and sophisticated management; strengthened the competition mechanism, aroused the initiative and enthusiasm of the doctors; increased the medical personnel workload; made scientific research, teaching and talent training faces new challenges. Strengthen the leadership of the chief; pay attention to personnel training; set the attending group scientifically, to promote the construction of sub-specialty.