Antenatal surveillance is one strategy that must be intensified and is very important in efforts to reduce maternal and perinatal morbidity and mortality. In an effort to minimize difficulties due to high risk pregnancies, midwives are expected to be able to provide quality services, and have good midwifery technical skills and communication skills. Based on this, the purpose of this study was to determine the effect of interpersonal communication / counseling on antenatal care service satisfaction. The method used is correlation analytic with cross sectional approach. The population in this study were pregnant women who came to the Puskesmas who were carried out by KIP / K by midwives, the research sample was 30 people, the sampling technique was accidental sampling. The research was conducted at Semangat Dalam Puskesmas in March-April 2020. The results showed that the implementation of KIP / K by midwives on antenatal care was mostly carried out according to the KIP / K steps as many as 23 people (76.7%), the satisfaction of pregnant women with antenatal care services was mostly in the satisfied category of 20 people (66, 7%), there is an effect of interpersonal communication / counseling on antenatal care satisfaction with a value of ρ value of 0.000 <0.05. The conclusion of this study is that there is an effect of interpersonal communication / counseling on antenatal care service satisfaction.