Despite physicians’ high medical competence, misunderstandings frequently occur in doctor–patient relationships. These misunderstandings often stem from communication breakdowns, especially when both sides perceive different priorities during the visit. Such misalignments can diminish satisfaction with care.The aim of the study was to compare which elements of a primary care visit are considered most important by patients and by physicians. In addition, we examined whether any discrepancies exist between the two groups in their priorities and experiences.An anonymous survey (paper-based in primary care clinics and online) was conducted from June to November 2025. A total of 82 patients and 49 physicians participated. An author-designed questionnaire on communication and expectations during the visit was used, featuring questions rated on a five-point Likert scale. Comparative analyses were performed between the responses of the two groups.Both groups assigned the highest importance to an accurate diagnosis, effective treatment, and a clear explanation of the health condition. Physicians were more likely to indicate empathy, courtesy, and eye contact as very important. Patients, in turn, placed greater emphasis on being informed about treatment costs and practical information related to treatment, costs, and next steps after the visit. Physicians rated their own communication skills higher than patients did. Conversely, patients reported adhering to recommendations more often than physicians believed.Both parties share similar intentions. However, differences in the prioritization of expectations and in self-assessment of communication can lead to dissatisfaction and frustration. Each side may not fully recognize the other’s priorities.Understanding and accounting for mutual expectations regarding communication can improve the quality of the doctor–patient relationship and enhance the effectiveness of treatment. Primary care practitioners should balance the factual and relational aspects of the visit and ensure that the patient understands the diagnosis and plan of action.