the system used in currently by hotels. The hotel structure has become essential and one of the many differentials, as medical treatment has become an international commodity. We must bring the institution to international standards of hospitality by making it more attractive and more competitive in the international market. Unfortunately many hospital administrators in Brazil have resisted to embrace this idea and won't even dare consider it, unknowingly ignoring the potentially significant gain and highly profitable market shares.It is imperative to realize that this set of factors which interfere with the participation of Brazil in the international market, does not present an impossible task to solve. Nor is this a widespread reality across the entire country. On the other side, Brazil has many hospitals and clinics that have prepared themselves adequately, and are offering their accredited services internationally. Although they are located mainly in major Brazilian cities, there are important institutions that are investing heavily in:Hotel structure:a new concept of hospitals and clinics focusing on natural light, an attractive and modern color scheme, shops, and restaurants. There are companies offering exhibitions, cultural activities and musical concerts that have become part of routine of the hospital. They also offer comfortable accommodations comparable to those of luxury hotels, managed by professionals from hotels and famous restaurants throughout Brazil, creating a climate conducive to hospitality, contributing to the welfare and improvement of the patient health.Humanization of care:the change of the environment in the hospital led to a change of its professionals' mentality; where the product (service) sold by the hospital is the "cure" and the "life", i.e. the hospital does not exist solely to treat illness and dying patients. The image of the hospital does not need to be tied to a cold and impersonal environment linked to pain and death. There is a warm environment with attention to individual and human needs with the inclusion of new professionals as the hospital staff. Patients can be accompanied by full time (caregivers), participate in musical and theatrical groups, have contact with (properly sterilized) small animals and the use of play spaces for children has also humanized and mitigated the pain of a hospital internship.Hospital Accreditation:many hospitals and clinics have sought these seals of quality that prove the excellence of its services, especially from institutions like the Joint Commission International-JCI, the Canadian Council on Health Services- CCHSA, and other institutions or service providers in each specialty as the Commission on Laboratory Accreditation of the College of American Pathologists (CAP) for laboratories. The search for international certification has become a way to testify for the clients in other countries that they may find here the same standard and quality of services in their own country.The major problem is still the little involvement, support and encouragement of the government and the resistance of hospital administrators to go abroad and increase their participation in this profitable market. There are, however, some initiatives already underway, for example the participation of the APEX-Brazil (Brazilian Agency of promoting exports and investments) and a group of private hospitals seeking to attract some of the