The New England Highway is the worst road in the Hunter, according to the NRMA's Rate Your Road survey.
The arterial road took out the top spot in the survey because of its congestion and attracted 209 votes from motorists.
Traffic chaos on the highway at Rutherford, South Maitland and Maitland were among the congestion hotspots raised.
But it wasn't the only road that had Maitland motorists upset. Seventy roads were identified as a problem in the survey because of their congestion, condition or safety.
Telarah Street at Telarah and Dower Close at Thornton were among the roads listed as a concern because of their poor condition.
Meanwhile, Edwards Avenue at Thornton was an issue because of congestion during peak hour.
Nelson Bay Road was named the second most congested road in the Hunter, the Pacific Highway at Hexham was third and Newcastle Road was fourth.
Dungog's Dowling Street took out fifth place because of its poor condition.
The NRMA said the number of Maitland roads listed reflected the state of the city's roads. In January the NRMA released a report that showed Maitland had a $64 million road maintenance backlog, which was one of the worst in the Hunter and Central Coast.
The Rate Your Road survey, which was released on Monday, comes after a Mercury investigation into the city's peak our traffic woes.
The strong westbound congestion on the highway around the railway station roundabout, and for those entering the roundabout from Cessnock Road, ignited strong feedback from readers.
It's clear they want a westbound flyover built to provide a long-term solution.
NRMA spokesperson Peter Khoury said policies around roads and public transport had to be a priority while cities and towns continued to expand.
"These survey results are telling," Mr Khoury said.
"Across the region, motorists have called out congestion as their number one concern.
"Where money is spent we see improvements, so I'm pleased to see both sides of politics pledging billions of dollars to our roads in the lead up to the election."
In Cessnock there were 3737 votes for 90 roads and safety was the biggest worry with Hermitage Road at Pokolbin, Redgum Road at Paxton and the Hunter Expressway at Loxford identified for safety concerns.
Fifty-three roads in Dungog attracted 1661 votes.
Ten thousand roads received votes in the statewide survey from 23,400 people.
Roads were rated according to their scale - very poor to excellent, based on congestion, condition and safety.