In 2016, ten King’s hospitals across Thailand were chosen for renovation by community architects using government funding. The project aimed to transform these small district hospitals into community hospitals to be central attributes of the communities they serve. Each hospital gets funding to renovate two areas: the hospital’s Masterplan and a multi-function building. Tar-Saeng Studio was commissioned to undertake the renovation of two hospitals: Had Samran Hospital in Trang and Yi-ngo hospital in Narathiwat. We used a participatory approach throughout the project, involving both the communities and with the hospital staff. We focused on discerning each district’s identity, to promote it in the hospital renovation. We followed up with the design workshops, an interactive exhibition and a book inviting further comments. The Masterplans have now been completed and approved by the relevant teams; the hospitals will be built by 2020.