Abstract: The Dell Medical School and its teaching hospital, Dell Seton Medical Center, are part of a vibrant health district that is one of Austin’s largest development projects. The 6.5 hm2 (16.2 acres)development is located in central Austin on the University of Texas campus—serving the faculty, staff, students and visitors of the Dell Medical School and setting a new image and ecological performance standard for the UT Austin landscape.The design process for the Dell Medical District landscape was a seamless extension of two previous years of planning by Sasaki and the consultant team. The team had already developed the 2012 Campus Master Plan, the 2013 Medical District Master Plan, and the 2014 UT Austin Campus Landscape Master Plan and Design Guidelines.