A major hospital project in Nepal, the Ram Raja Prasad Singh Academy of Health Sciences, remains unfinished after seven and a half years. The project, budgeted at approximately $90 million (Rs11.98 billion), has been plagued by administrative hurdles and disagreements over key appointments. Unpaid consultancy fees are also contributing to the significant delays. The stalled construction raises concerns about access to healthcare in the region and the effective allocation of substantial public funds. Authorities have yet to announce a clear plan to resolve the issues and resume work on the critical infrastructure project. The ongoing situation highlights systemic challenges in Nepal’s public works sector. No revised completion date has been established.