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Indian Navy is expanding its fleet for its geo-political and economical expansion in South Asia. In the recent past, quite a few ships have been built indigenously. We have come a long way in designing world class ships in India and still a lot has too be done for an ideal sickbay on board. A case study was performed onboard modern frigade class of ships from Aug 2009 to Mar 2010 and certain recommended changes were incorporated. The authors aims to highlight the essentials of a modern sickbay onboard Indian Naval Ships with the normal day to day working as well as a change over to a hospital ship in case of operational requirement.