This chapter discusses hospital housekeeping services. There should be a well defined place for everything and everything should be in its place, is central to housekeeping services. The internal customers of the hospital are doctors, nurses, paramedical staff and auxiliaries. Soothing and comfortable environment increases efficiency of the staff of the hospital. Housekeeping services started in the middle of 17th century. Florence Nightingale also emphasized the need of good housekeeping services. In in-house services the staff is recruited by the hospital and the services are maintained by the hospital housekeeping services. The hospital housekeeping services serve all the departments of the hospital, as far as possible, it should be centrally located and close to the vertical transport system of the hospital.