The project at Walsall Manor Hospital involved constructing a single-storey Maternity Theatre extension directly linked to the existing Delivery Suite. This extension was crucial to meet the growing demand in the maternity unit, providing new theatres and recovery spaces. Situated within a confined three sided courtyard, the project faced significant challenges, including space constraints and limited access to the delivery suite. Despite these obstacles, the design successfully integrated clinical user requirements to optimize patient and staff workflow. Accessibility was apriority, with the incorporation of automatic sliding doors ensuring ease of access for clinical flow. Specialist input was essential for the design, focusing on medical pendants and surgeons' lights to enhance operational efficiency and provide innovative solutions tailored to clinical needs. These design elements were carefully considered to improve the functionality and effectiveness of the theatre spaces, ensuring they met the highest standards of clinical care.