Public buildings, such as those that provide housing, offices, and hospitals, have begun to discuss and implement sustainability initiatives alongside their private counterparts. A shelter is also known as a home. The design, construction, and use of a building have a direct impact on the health of the community and the environment. Healthcare facilities have a disproportionately large impact on the environment due to their continuous, nonstop use. The goal of this study was to look at how sustainability is applied to hospital building plans in Syria using the Analytic Hierarchy Process (AHP). To achieve its goals, the study combined the Analytic Hierarchy Process (AHP) model and semi-structured interviews. In this study, we design and apply an AHP-based platform effects determination model to help us decide on the best possible set of criteria for modeling applications, thereby resolving the platforms determination problem. This paradigm assists and constructs the decision-making process. Spice Logic Software is used to process and analyze questionnaire data. The findings suggest that incorporating a sustainability applied strategy into the design of Syrian hospitals had a positive impact on engineering project management. Most criteria and sub-criteria emphasize the importance of a sustainability implementation strategy in the architectural design of hospitals in Syria, as well as the effects on engineering projects. Keywords: Analytic Hierarchy Process, Sustainability, Architectural Design, Hospitals, Engineering Project Management.