The authors examine the influence of culture on the measurement of service quality and satisfaction in dentists’ office settings. Respondents from the United States, Canada, and Japan participated in a 2 × 2 factorial experiment in which the authors manipulated both expectations (high/low) and service performance (high/low) in a series of scenarios. With partial metric invariance, latent mean comparisons revealed that regardless of expectations, Japanese respondents reported lower quality perceptions and satisfaction ratings when performance was high and higher satisfaction ratings when performance was low than did their U.S. and Canadian counterparts. Thus, there is some evidence that Japanese consumers are more conservative in their evaluations of superior service but are less critical (or more forgiving) of inferior service. The authors also discuss managerial implications and future research directions.