Muscat Orthopedic Hospital was a medical concept developed to Shumookh Investment & Services S.A.O.C in Oman. The concept was designed by ESA engineering (Florence –Italy). The total Build up area (sq.m ) 49,420 with external development of (sq.m) 89,900. The total concept’s development and construction cost € 238 million. MOH was provided with the most advanced technologies and highly innovative equipment for orthopedic care. Communications shall be based on the support of the ultra-speed pneumatic service.