The article is devoted to the study of the organization of air medicine and the architectural design of helipads in hospitals located in an urban environment. Also, the article has an attempt to draw public attention to the inevitable development of air medical aviation as a new and promising type of emergency medical transport in dense urban areas, which, in the processes of urbanization, will be aggravated by blocking the possibility of automobile movement in the city. The purpose of the article is to analyze the main problems and difficulties that accompany the design and operation of medical helipads in an urban environment, as well as to propose and systematize the main features and parameters that must be considered when designing helipads in hospitals. Methodology: the study consists of a systematic, and comprehensive analysis of the problems of architectural design of hospital helipads. The study used the analysis of literary, normative, informational sources, graphic-analytical methods, photographs and field research. The research methodology consists of a set of methods of practical, theoretical, empirical, retrospective and factor analysis. Conclusions: when designing a heliport in a hospital, it is essential to provide the shortest and safest route for a patient to the intensive care unit or operating room. Helipads for medical use are best located directly on the hospital grounds (on the roof of a hospital building or outbuilding, on the ground). It is also necessary to take into account the presence of a network of public heliports, which will create the possibility of landing and takeoff of medical helicopters in different parts of the urban space.