The book discusses the significant changes and expansions at Rikshospitalet, part of a major restructuring of Oslo University Hospital. As of its publication, extensive construction is underway, with parts of the existing buildings demolished and functions temporarily relocated until the new hospital is completed in 2031. This marks 25 years since Rikshospitalet moved from Pilestredet to Gaustad, representing two distinct eras in its history. In 2023, architect photographer Rasmus Hjortshøi was commissioned to capture the hospital’s state before the construction began. His photos, showing the wear and tear of 25 years of hospital life, form the core of the book, supplemented by short texts from architects, project managers, users, and artists. The book aims to provide an informal status report as Rikshospitalet enters a new era.