This study aimed to study the impact of governance on the quality of health care services by applying it to the Directorate of Health Affairs in Taif Governorate, and to find out whether there are statistically significant differences in the principles of governance about the quality of health care services. (Participation, disclosure and transparency, integrity, accountability, oversight), along with phrases for the dependent variable (the quality of health care services), Validity and reliability measurements were carried out by presenting the questionnaire to a group of specialized professors to ensure the apparent validity, and the Alpha Cronbach test was conducted for the validity and reliability of the questionnaire’s statements, and then directed it to all (150) employees of the Directorate of Health Affairs in Taif, who constitute a sample of the community required for the study. And (150) questionnaires were recovered, 100%. Then the data was analyzed using the Statistical Package for Social Sciences (SPSS) program, where several methods of analysis were used, such as means, simplified linear regression and correlation. The study reached several results, the most important of which is the existence of a direct statistically significant relationship between “governance” with its five dimensions (participation, disclosure and transparency, integrity, accountability, oversight) and “quality of health care services” in the Directorate of Health Affairs in Taif, The study recommended the most important recommendations, including: that everyone be allowed to discuss and amend decisions, that the directorate adhere to the policy of selection and appointment, granting promotions and rewards according to specific criteria, and that the Directorate of Health Affairs in Taif has all the medicines needed by patients.