The study aimed to explore the impact of Total Quality Management on the performance of healthcare staff in government hospitals in Riyadh city, Saudi Arabia, as well as to assess the level of implementation of Total Quality Management and the performance of healthcare staff in government hospitals in the Kingdom of Saudi Arabia. The study used a descriptive analytical approach to achieve its objectives, and the sample consisted of 265 employees from government hospitals in Riyadh city from healthcare staff. Data was collected using a questionnaire, and the results showed a statistically significant positive relationship between the implementation of Total Quality Management and the performance of healthcare staff in government hospitals in Riyadh city. Based on these results, the study recommends the adoption of Total Quality Management by hospital management in Riyadh city as a framework for improving performance and developing healthcare processes. The study also emphasizes the importance of legislation and regulations that facilitate the implementation of Total Quality Management and urges the development of an effective accounting system for healthcare institutions. Additionally, the study advises the development of strategic plans for Total Quality Management based on the needs of beneficiaries, and the adoption of unified policies for both material and moral incentives for employees in the healthcare sector, aiming to create a work environment that encourages excellence and outstanding performance.