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Personalized travel itinerary recommendation algorithms are the focus of research in smart tourism and tourism GIS. Aiming to address issues present in travel itinerary recommendations for the increasingly popular "self-drive tour" mode, this study proposes an algorithm based on comprehensive tourist satisfaction to mitigate problems such as the neglect of important relevant factors and low degree of personalization. First, we construct a model of tourist satisfaction for travel itineraries by comprehensively considering factors including time utilization, the attractiveness of attractions, itinerary feasibility, and the diversity of attraction types. Unlike previous studies, we consider dining and accommodation time during the itinerary, the physical condition of tourists, and the diversity of attraction types, and establish penalty functions to flexibly constrain deviations from the expected conditions in itinerary planning. Then, with the optimization of comprehensive tourist satisfaction as the objective, we design a new algorithm to address the itinerary recommendation problem, supporting tourists in selecting must-visit attractions, restaurants, and hotels, as well as personalized preferences such as the sightseeing sequence. The experimental results demonstrate that our proposed algorithm outperforms two baseline algorithms, providing higher comprehensive tourist satisfaction while also exhibiting greater feasibility in itinerary planning. The proposed algorithm effectively addresses the issue of personalized travel itinerary recommendation, presenting an efficient, feasible, and practical solution. [ABSTRACT FROM AUTHOR]