People belief that good hospital design should inspire health. Architecture has taken on a new role as part of a device that improves patients. However, improving hospital architecture requires a new perspective. This study uses research methods with a qualitative approach. The development of traditional to modern architects is studied by studying various documents and literature. Lean thinking needs to be considered in designing a modern hospital. This study is part of modern hospital design research. Therefore it is necessary to explore the development of hospital design so that the planning can be more efficient with various paradigm changes. This study also examines the differences between traditional and modern design methods, which now prioritize lean thinking in designing hospitals.