Purpose:: To evaluate long-term refractive, visual outcomes and patient satisfaction following capsular bag implantation of a multifocal toric intraocular lens (IOL). Setting:: Department of Ophthalmology, Professor K. Gibinski University Clinical Center, Medical University of Silesia, Katowice, Poland. Methods:: This prospective, non-randomized study enrolled cataract patients with the presence of preoperative corneal astigmatism of values higher than 1.5 D. All patients were operated on by a single surgeon. After removal of cataract and injection of viscoelastic material, an intraocular was implanted into the capsular bag (M-flex T, Rayner Intraocular Lenses Limited, Hove UK). Postoperative examinations were performed at 1 day, 1 week, 1 month, 3 months, 6 months and the last visit (between 12 and 48 months). Results:: Thirty-five eyes were included in the analysis. The mean uncorrected distance visual acuity, corrected distance visual acuity, uncorrected near visual acuity, binocular distance visual acuity and binocular near visual acuity increased from 0.28 ± 0.23, 0.58 ±0.34, 0.29 ± 0.21, 0.46 ±0.29, 0.45 ±0.25 before the surgery to 0.85 ± 0.23, 0.88 ± 0.16, 0.68 ± 0.15, 0.94 ±0.13, 0.71 ±0.14, respectively, at the 3-month follow-up. All the values remained at the same level of statistical significance (P<0.0001). The mean preoperative cylinder power was -2.15 D, which was reduced to -0.01 D, 0.43 D at the 3-month visit. Higher contrast sensitivity was evident throughout all spatial frequencies of 3, 6, 12 and 18 after the surgery. The patients’ satisfaction, measured by the VF-14 questionnaire, was significantly higher after the surgery, 82.67%, compared to with 41.62% before surgery. Moreover, a significant increase in spectacle independence after surgery was evident, with 90.20% spectacle free. Conclusions:: Implantation of a multifocal toric intraocular lens is a good option for patients to reduce their dependency on spectacles. The visual outcomes after surgery contribute to a high level of patient satisfaction and an improvement in quality of life.