Objective To discuss the impact of process optimization-based management measures on outpatient waiting time and patient satisfaction in gynecological clinics and analyze the relationship between waiting time and patient satisfaction. Methods A total of 122 patients were selected from the outpatient gynecology clinic of Zhanhe District Maternal and Child Health Hospital of Pingdingshan City between January 2023 and December 2024. Patients were divided into a control group and an observation group (61 cases each) according to the implementation time of process optimization. The control group received routine outpatient services, whereas the observation group was managed using optimized outpatient workflows. Waiting time indicators and patient satisfaction scores were compared between groups, and the correlation between waiting time and patient satisfaction was analyzed. Results Compared with the control group, the observation group showed significantly shorter registration, consultation, examination, and total outpatient waiting times (all P＜0.05). Overall patient satisfaction and scores across all satisfaction dimensions were significantly higher in the observation group (all P＜0.05). Pearson correlation analysis showed a significant negative association between outpatient waiting time and patient satisfaction, with total waiting time demonstrating the strongest correlation with overall satisfaction (r＝-0.641, P＜ 0.001). Conclusion The outpatient management model based on process optimization can effectively shorten the waiting time in gynecological outpatient and significantly enhance patient satisfaction by improving the medical experience, thus demonstrating considerable application value in clinical management.