The study focused on factors affecting maintenance management of public hospital buildings in Lagos state. It also assessed the operational state of public hospital buildings within the study area.

The analysis revealed the operational state of public hospital buildings in Lagos State as been average, and there is no significant difference in the perception of the maintenance staff and the users.

The analysis disclosed that the public hospital buildings in Lagos State are in a mere state of existence in terms of the physical and functional conditions of the building elements including services that constitute these hospitals. For better performance, a proactive rather than reactive approach should be adopted for effective maintenance practices.