Background and Aim Investigates the presence of relationship between preferred decorations, colored walls, and nurse’s uniform to hospital anxiety of 150 pediatric patients admitted in the pediatric ward of Geregorio T. Lluch Memorial Hospital in Iligan City, Philippines. Design The researchers utilized a cross-sectional correlational approach to explore probable associations between the variables and hospital anxiety, giving an insight into factors that are likely to affect hospital anxiety among the patients. Results Key findings include a strong preference for ward decorations with themes. Among hobby spaces, crafting area had the highest number of likes. All colors were preferred for colored walls except for black, brown and burgundy. Having no wall art/mural, no natural elements in the decorations, and no decorations in ward rooms were disliked or not preferred. Themed wall mural, and gray and blue colored walls have significant relationship to hospital anxiety. There is also a significant relationship between stripes as nurses’ uniform design and peach orange as a uniform color, and hospital anxiety. Conclusion The overall finding was that most pediatric patients experienced similar levels of anxiety regardless of their preferences for decorations, colored walls, or nurses’ uniforms. This imply that while children have varied preferences in terms of the hospital environment, these preferences influence their hospital anxiety levels during hospital stays.