Snøhetta reveals new masterplan for Paimio Sanatorium

As part of a new future vision for Aino and Alvar Aalto's iconic masterpiece in the woods of Paimio, Finland, Snøhetta has developed a masterplan for the former tuberculosis sanatorium and hospital. The proposal builds on the conviction that guided the Aaltos throughout their work: that architecture exists, above all, to serve human wellbeing.

Working in close partnership with the Paimio Foundation, Snøhetta reimagines the Sanatorium as a destination that combines hospitality, wellness, cultural spaces, and arenas for international dialogue. The ambition is that the premises can become a destination for reflection, wellbeing and social diplomacy – a meeting place where questions of care, design, and our shared future can be explored.

The former surgery wing will be adapted into a flexible auditorium with a new entrance for visitors, while the patient wing is envisioned as a calm and understated hospitality section. The reopening of the iconic sun balconies, alongside the introduction of a lower-level spa with direct access to the outdoors and surrounding forest, extends the Aaltos' original vision of light, air, forest, and breathing as integral elements of healing – helping to secure both the longevity of the architecture and its relationship to nature.

With profound respect for the legacy of Aino and Alvar Aalto – and particularly the Paimio Sanatorium – we approach this project with the ambition of opening the site for thoughtful future use.

Kjetil Trædal Thorsen, founding partner of Snøhetta

Bringing the nature back close

Kjetil Trædal Thorsen, founding partner of Snøhetta, says:

“With profound respect for the legacy of Aino and Alvar Aalto – and particularly the Paimio Sanatorium – we approach this project with the ambition of opening the site for thoughtful future use. Grounded in research, each intervention is carefully considered, preserving the building’s integrity while allowing it to evolve.”

One of the strategies under consideration is to bring nature closer to the rear façade of the building by introducing a new entrance. The currently asphalted forecourt is proposed to be resurfaced in slate and articulated with new planting.

By introducing a new entrance that provides direct access to the flexible auditorium, events can be hosted independently of the building's daily operations, while also improving circulation through the site. Within the auditorium, the space is proposed to be opened up across two levels to create a large, flexible venue accommodating approximately 200 people. The room is envisioned with a birch slatted wal – referencing the Aaltos' architectural language – that integrates both technical installations and acoustic performance.

Modest interventions with a transformative effect

The existing patient rooms are proposed for conversion into hotel rooms through modest adaptations. Whereas bathrooms were previously shared along the corridor, the new programme introduces rooms of varying sizes – ranging from compact rooms with shared facilities, to rooms with small, integrated bathroom units, and larger rooms offering full amenities.

The rooms emphasise the Aalto couple's original intention of designing with care for the patient by retaining the original proportions. Surfaces are carefully reconstructed, while new elements – such as the bathroom units – are introduced as freestanding furniture in lacquered birch veneer, creating a clear distinction between the existing and the new.

From the corridors outside the rooms, there is access to the iconic, elongated open balconies, which are proposed to be reinstated as open structures without the glass enclosures introduced at a later stage.

Selected larger rooms are proposed to be made by combining two original patient room units.
The roof terraces are envisioned reintroduced with reclining chairs and sleeping bags, allowing visitors to once again experience the building as originally intended.
The spa facilities on the ground floor are organized as a spatial sequence, guiding users from one room to the next. This approach allows for minimal interventions in the existing building fabric.

Care without a cure

Designed by Alvar and Aino Aalto and completed in 1933, Paimio Sanatorium stands among the foundational works of modern architecture. Conceived as an instrument of healing at a time when no cure for tuberculosis existed, it was shaped in every dimension around the patient and the human relationship to light, air, and the surrounding landscape.

The building served first as a sanatorium for patients suffering from the then‑widespread and often fatal disease, and later as a general hospital, remaining in use until the mid-2010s. Together with the Vyborg Library, it carried Finnish architecture onto the world stage and confirmed the Aaltos among the leading figures of the modern movement.

(...) the Snøhetta team has succeeded in creating a thoughtful balance between conservation and restorative architecture, while at the same time opening space for new ideas and future-oriented thinking that respectfully honours the architectural legacy of Aino and Alvar Aalto.

Mirkku Kullberg, Chair of the Board, Paimio Sanatorium Foundation

 

Mirkku Kullberg, Chair of the Board, Paimio Sanatorium Foundation, says:

"The proposed concept is internationally relevant, intellectually compelling, and multidisciplinary in nature. Under the leadership of Kjetil Trædal Thorsen, the Snøhetta team has succeeded in creating a thoughtful balance between conservation and restorative architecture, while at the same time opening space for new ideas and future-oriented thinking that respectfully honours the architectural legacy of Aino and Alvar Aalto.

The Masterplan establishes the conditions for building both national and international networks of partners and collaborators, thereby creating the foundation for a new future for Paimio Sanatorium.”

Entering a new era

The revitalisation of Paimio began in 2020 with the establishment of the Paimio Sanatorium Foundation, with the aim of safeguarding the Aaltos' vision while securing an active future for the site. Research has identified a well-being centre and hotel as the most suitable new use, complemented by cultural activities, enabling planning and permit processes to advance with the support of both national and international experts.

Paimio Sanatorium is among the Aalto sites proposed for inscription on UNESCO’s World Heritage List, with a decision expected in July 2026.

The first phase of the master planning has been carried out in collaboration with Helsinki-based ALA Architects and Mustonen Architects, one of the foremost authorities on the Aaltos' built legacy.

 

Download images here

Credit: Proloog/Snøhetta

 

About Paimio Sanatorium

  • In Paimio, Finland
  • Completed 1933
  • Designed by Finnish architect and designer duo Aino and Alvar Aalto – widely regarded as among the leading figures of modernist architecture, particularly known for their humanistic, nature-oriented approach.
  • Built as a tuberculosis sanatorium, later used as hospital. Today a tourist attraction.
  • The building is designed with the reclining human body as its point of departure, and the entire complex is shaped with the patient in mind.
  • The property comprises the main building together with fourteen additional structures.
  • Granted protection in Finland in 1993 under the Finnish Building Protection Act.
  • The complex was included on UNESCO's tentative list in 2004, and is part of the “Aalto Works” nomination.

 

Ida Halvorsen Kemp

Ida Halvorsen Kemp

Marketing Communication Manager, Snøhetta Oslo

Mirkku Kullberg

Chair of Board, Paimio Sanatorium Foundation

 

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About Snøhetta

For almost 40 years, Snøhetta has designed some of the world’s most notable public and cultural projects. Snøhetta kick-started its career in 1989 with the competition-winning entry for the new library of Alexandria, Egypt. This was later followed by the commission for the Norwegian National Opera and Ballet in Oslo, and the National September 11 Memorial Museum Pavilion at the World Trade Center in New York City, among many others. 

Since its inception, the practice has maintained its original transdisciplinary approach, and often integrates a combination of architecture, landscape architecture, interior architecture, product design and art across its projects. The collaborative nature between Snøhetta's different disciplines is an essential driving force of the practice.

Today, Snøhetta has a global presence, with studios in seven locations spanning from Oslo to Paris, Innsbruck, New York, Hong Kong, Shenzhen, and Melbourne.

Snøhetta is currently working on a wide range of international projects, including the Shanghai Grand Opera House, the Theodore Roosevelt Presidential Library in Dakota, Harbourside redevelopment in Sydney and La Croisette in Cannes, to name a few. 

Recently completed works include Vertikal Nydalen in Oslo, Beijing City Library, the renovation of Musée national de la Marine in Paris, Orionis - the planetarium and observatory of Douai, Airside in Hong Kong, Esbjerg Maritime Center in Denmark, 550 Madison Garden and Revitalization in New York, as well as Volum lamps for Lodes.

Some of Snøhetta's previous projects include Ordrupgaard Art Museum expansion in Denmark, the Cornell University Executive Education Center and Hotel in New York City, Le Monde Group Headquarters in Paris, including the wayfinding and signage, Europe’s first underwater restaurant, Under, the redesign of the public space in Times Square, the expansion to the San Francisco Museum of Modern Art, Lascaux IV: The International Centre for Cave Art, Powerhouse Brattørkaia and design for Norway’s new banknotes.

Snøhetta’s working method simultaneously explores traditional handicraft and cutting-edge digital technology. At the heart of all Snøhetta’s work lies a commitment to social and environmental sustainability, shaping the built environment and design in the service of humanism. Every project is designed with strong, meaningful concepts in mind – concepts that can translate the ethos of its users and their context.

Among many recognitions, Snøhetta has been awarded the European Union Prize for Contemporary Architecture – Mies van der Rohe Award for the Norwegian National Opera and Ballet, and the Aga Kahn Prize for Architecture for the Bibliotheca Alexandrina. In 2016, Snøhetta was named Wall Street Journal Magazine's Architecture Innovator of the Year, and the practice has been named one of the world’s most innovative companies by Fast Company two years in a row. In 2020, Snøhetta was awarded the National Design Award for Architecture, bestowed by Cooper Hewitt, Smithsonian Design Museum. In 2021 and 2022, Snøhetta’s Forite tiles won the Sustainable Design of the Year by Dezeen and Best Domestic Design by Wallpaper* in 2022, and the wayfinding system for Le Monde Group Headquarters was acknowledged with Monocle Design Awards. In 2023, Snøhetta won a number of awards for the Esbjerg Maritime Center and was named Architects of the Year at the Monocle Design Awards, in 2024 included a number of awards to Beijing Library and the BIA 2024 Award to Snøhetta and in 2025, Snøhetta was recognized with the OPAL Special Award for Sustainability, among others. 

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