The primary function within a hospital is administering care to patients. Physicians and nurses are the main caregivers within hospitals and since the establishment of the modern hospital institution. They are the main stakeholders in healthcare. Many studies have been done on the aspects of sustainable environment in hospitals and evidence-based design and this study will, according to the research set. We expounded on what constitutes a sustainable hospital refurbishment from stakeholders. Outline environmental strategies that can be employed to support hospital structural environments. We developed selected sets of design guidelines that can be employed in hospital design and planning to support sustainable and refurbished environments. This research is of significance to the domain of hospital planners and designers as it extends the knowledge base that currently exists in environmental strategies for hospital design and with special emphasis to warm and humid climate by the analyses of stakeholders as discussed in this study.