One of the most researched areas in telemedicine concerns the issue of satisfaction. However, most of this research lacks any consistent methodological approach. As a result, it is difficult to conclude whether patients and providers are satisfied with telemedicine. However, this paper postulates that there is a bigger problem within the satisfaction literature than the quality of the research to date. Instead, the bigger question is whether the results from a specific telemedicine project can actually be generalized across all telemedicine contexts. This paper argues that research should focus on specific questions of interest rather than continue the tradition of generic satisfaction research if we hope to gain specific knowledge that will inform the field of telemedicine as a whole.