Abstract: The TB specialist (designated) hospital plays an important part in the national TB control program, and has made significant contribution to the TB control and prevention in China for long time. However, a series of problems encountered in the development process, including unfair input policies, a shortage of funding for infrastructure, low level of physician qualifications, low competitiveness of the whole hospital and the operating loss. The introduction of new medical reform program and the National TB Control Program (2011—2015) , is bound to impact on the development of medical institutions. The TB specialist hospital will usher in this historical development opportunity. Government departments can make investment or subsidy in infrastructure and equipment, human resource development, and policy adjustments.