Healthcare commissioning process should be safety and quality-oriented activities which validate and document the performance of not only facility but system as well, during the process commissioning team will verify to see if the original or defined objective and criteria are met.Understand the content, definition of commissioning that will take place. Clearly describe the timeline activities of commissioning processes 3. Evaluate the readiness before opening especially need to undertake risk assessment and the identification of potential hazards and the required strategies to eliminate or protect against these hazards during commissioning. Ingrained safety culture in everything we do during commissioning is crucial, therefor after identifying a group of commissioning team members we aligned the definition of hospital commissioning which is facility commissioning and clinical operations commissioning. project projective and identified seven medical flows, we also use simulation for activation during commissioning processes. Input should be also provided from all vertical team like radiology, inpatient, general surgery ect. As well as horizontal team like pharmacy, patient access, finance ect.