Project Management in India has been one of the most under rated aspect of a construction project. Until recently, it has been observed as more of a burden than being a powerful tool to complete the project efficiently and in a timely manner. Some of the major contributors in the above are adhering to multiple formats, extensive record keeping, processing Project Management data into Project Management information, analyzing the outcomes and implementing improvements at site, etc. However, with rapid globalization, Project Management techniques have been adopted in various construction projects across the country and proved to be highly efficient in completing complex projects in a time bound manner with optimum results and desired quality. The construction and commissioning of complex commercial buildings like Hospitals mandate the implementation of Project Management processes, more so in Indian market scenario. There is a huge scope for improvement in a construction project by following the PM processes from the inception of the project. The author is currently working as the Planning &Co-ordination Head for the construction of India?s largest Medical Campus. An attempt is made by the author to amalgamate Project Management practices with real-time construction and commissioning of a fully air conditioned hospital in India.