During the 1970s, different types of hospital courtyard design (HCG) were implemented in the planning of Malaysian public hospitals. Consequently, various hospitals of different scales and design concepts were built to provide a better healthcare delivery system for local communities. However, the different typologies of HCG designs are yet to be systematically evaluated. Furthermore, designers and hospital managers are not aware of how different types of HCG perform. Face-to-face interview surveys and field measurements were employed in this study to develop an understanding of users’ perceptions, experiences and satisfaction levels with the quality of HCG in a Malaysian public hospital.