This chapter examines the development of health services in late Ottoman Palestine. Through the eyes of a French physician living in Jerusalem in the first years of the twentieth century, it surveys the city’s medical institutions and personnel as a prelude to developments in the decades to come. It focuses on Jerusalem, which Western and missionary competition made into the city with the highest bed capacities in the empire, and on late Ottoman and regional developments, which set the stage for the medical profession’s development. Western encroachment, Zionist immigration and funding, late-Ottoman administrative reform, and local Palestinian initiative created an institutional and social setting that transformed Palestine’s medical landscape.