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As the world population grows, tourism has become the cornerstone of the global economy. This study aims to analyze the relationship between market orientation (MO) on service quality (SQ) and customer satisfaction (CS) as well as its impact on organizational performance (OP) in the context of sustainable tourism destinations in Bali. Furthermore, the study also explores the mediating effect of service quality on the relationship between market orientation and customer satisfaction. A total of 37 managers of tourist destination areas with more than three years of experience participated in this research in the Bali region. The data collection technique was carried out with a self-administered questionnaire survey. PLS-based structural equation modeling was used to analyze the data. The results showed that MO significantly influenced SQ, MO influenced SC, MO influenced organizational performance, SQ influenced CS. Interestingly, SQ partially mediates the relationship between MO and SQ. This study provides practical implications for senior managers by implementing market orientation and service quality as a competitive strategy of tourist destination areas to influence customer satisfaction and the yields of business operations. This paper empirically provides an understanding of the implementation of market orientation practices to improve service quality levels and strengthen satisfaction models. There are very few similar studies in the context of Bali tourism services and this paper offers managers knowledge to improve customer satisfaction by implementing market-oriented behavior and effective service quality practices.