Providing Free Orthopedic Care to over 23,000 Children from Hawaii and the Pacific Basin

Honolulu Replacement Hospital

Shriners Hospitals For Children

SRG, teamed with local Honolulu architect Ferraro Choi, developed a re-utilization plan for the hospital that responds to the unique culture and site of the Pacific Islands and mission of the Shrine.


137,000 sf


Honolulu, HI

Year Complete


A History of Care

As one of 22 hospitals located in North America and Mexico, the Honolulu Hospital is the second oldest, established in 1923. Since that time, the Hospital has provided free orthopedic health care services to over 23,000 children from Hawaii and 17 other countries located in the Pacific Basin.In 2004, SRG was retained to study the existing facility and its programs, and make recommendations for its future. The existing Hospital, constructed in 1965, was operating well beyond its expected service life, lacked adequate space for families and was suffering from multiple code deficiencies. SRG created multiple options for both renovation and replacement to extend its life well into the future. In early 2007, the Shriners National Board of Trustees approved the replacement of the hospital. The project was completed in 3 separate phases of construction, to allow for ongoing hospital operations which included the use of a mobile surgical suite. The replacement project was completed in early 2011 and included 3 separate, but connected buildings including the 24-bed orthopedic hospital, an administrative/conference center and a patient therapy/family housing facility.”

A Place for Children

One of the primary goals of the interior design was to create a healing environment to help normalize and restore balance to the pediatric patient’s life. Creating psychological escapes from the traditional health care clinical setting through the incorporation of elements of positive distraction and fantasy were the primary methods used. Emphasis was placed on prominent areas for patients and family members, clear and simple wayfinding, providing abundant daylighting and views to outdoor landscape areas, and including elements for patient comfort in nursing rooms, exam and procedure rooms. Due to the age of the patient population varying from toddlers to teenagers, the interior design features, artwork and environmental graphics were selected to be at a level of sophistication to be appreciated by all. Simple use of primary colors and Disney characters were avoided, and those that were widely viewed as indigenous to Hawaiian and Polynesian Cultures were embraced.