The purpose of the qualitative hermeneutic phenomenology research study was to identify motivators, de-motivators, and satisfiers of millennial physicians in choosing their specialization. The objectives of the study were fourfold: (i) determine critical aspects that motivate/demotivate millennial physicians in choosing primary care medicine; (ii) explore key differences and similarities in factors that motivate and satisfy millennial physicians to continue practicing medicine; (iii) investigate significant differences and similarities in factors that demotivate millennial physicians; (iv) propose policy interventions decision makers should use to create a conducive primary care environment. The following research questions were addressed: R1. What are the critical factors that motivate millennial primary care physicians to continue practicing primary care? R2: What are the critical factors that demotivate millennial primary care physicians from continuing to practice primary care and opt for a different specialty? Data was collected from 20 participants through semi-structured interviews and analyzed using NVivo 12. Findings revealed PCPs and specialists are similarly motivated and satisfied by making a difference, variety, influence, security, autonomy, and environment. Motivators in choosing primary care included building relationships and work-life balance, whereas specialists’ motivators were motivated by thrill and instant gratification. To enhance job satisfaction, millennial physicians recommended decision makers provide incentives, balance rewards and salaries, increase residency programs, strengthen professional support, and enforce limitations on mid-level care. A key recommendation is to formulate policies creating awareness about primary care, introducing mentorship programs, and cultivating primary care focused professional identity.