We're building a new SickKids.
Project Horizon is SickKids' campus redevelopment project. We have our sights set on an inspired, two-site hospital of the future, powered by Precision Child Health. This plan allows for the greatest opportunity for care model innovation informed by data and leading practices from organizations around the world.
“As we build a new SickKids, we are defining a new approach to paediatric medicine using precision child health to diagnose and treat our individual patients. Our renewed campus will represent our identity, who we are, and what we believe in.” - Dr. Ronald Cohn, President and CEO, SickKids
Why does SickKids need renewal, and what will change?
SickKids is the world’s best paediatric hospital and offers more unique programs, services and procedures than any paediatric hospital in the country. It is the sole or largest provider of many medical and surgical programs and services provincially, and at times nationally.
Projections show that patient complexity and volumes will continue to rise, and SickKids' aging infrastructure needs to transform to support the life-changing individualized care that we will provide into the future.
In our future vision, SickKids will remain at the existing University Avenue site that is so well-known and recognized, but the oldest parts of the hospital will be demolished to make way for a new Critical Care Tower and the remaining site will go through much needed upgrades and a modernization. Additionally, like many world-class hospitals, we will add a second site with a new, streamlined Ambulatory Care Tower to deliver outpatient care.
Read on to learn more about our exciting future.
Our future vision
We are proud to work closely with our government partners as we advance our vision for a two-site model, approved by the Ministry of Health as of September 2025.
This plan allows for the greatest opportunity for care model innovation informed by data and leading practices from organizations around the world.
University Avenue Site
The University Avenue site will house the world-class critical care and acute services that makes SickKids a leader in paediatric care:
- A new Critical Care Tower (Peter Gilgan Family Patient Care Tower) to support the highest acuity care for the most complex patients
- Renewed clinical, non-clinical, and family support spaces across the hospital
Images are renderings only and are subject to change.
Ambulatory/Outpatient Care Tower (second site)
- A dedicated outpatient care tower that will drive exceptional patient and family experiences through innovative and individualized ambulatory care.
- The tower will house the majority of SickKids outpatient clinics and day surgery, as well as supportive services like diagnostic imaging, phlebotomy, and patient and family support spaces, streamlining outpatient care.
Ambulatory, sometimes referred to as outpatient services, are programs and services that do not require an overnight stay.
Images are renderings only and are subject to change.
How we will get there
Stage 1: Begin building critical care capacity - prepare for Ambulatory Care Tower construction - shift staff and services to prepare for Black/Hill Wing demolition
- Consolidate 18 high acuity care beds into one renovated unit for more seamless care for critically ill patients
- Start a series of renovations to re-locate staff and services into renewed and expanded space to prepare for Black and Hill Wings demolition
- Design the Ambulatory Care Tower and submit these plans to the Ministry of Health for approval
Stage 2: Build and open the Ambulatory Care Tower, and begin major transformation on the University Avenue site
- Construct and open the Ambulatory Care Tower
- While building the Ambulatory Care Tower, we will be planning and preparing for the Critical Care Tower
- Continue and complete renovations to create renewed spaces for various services in the Atrium, Burton Wing and in leased buildings
- Demolish the Black and Hill Wings, and begin construction on the Peter Gilgan Family Patient Care Tower (Critical Care tower on University Avenue site)
Latest news
Patient and Family engagement
"No decisions about you, without you"
Throughout the project we've engaged patients and families to ensure that the spaces we create reflect the groups that they are created for. Over 30 individual Patient and Family Advisors from the Lived Experience Network have graciously committed time to Project Horizon, to provide feedback on topics like accessibility, clinical space design, respite and play spaces, and more. As planning progresses, we continue to find more ways to ensure we are meaningfully engaging with these important partners.
Get in touch!
Follow SickKids on X and Instagram for updates on the project, and join in the conversation using the hashtag #SKTransforms.
Want to reach out to us directly? Email us at Project.Horizon@SickKids.ca
We look forward to sharing our redevelopment journey with you!

