Current national military regional hospitals handle engineering design is adopted or entrustment two kinds of self-management, self-management and mining also took part in the case of commissioned works contractors in three to four years a military post and implement the essence of the case, it must be in response to time be changed mode of operation, to solve issues such as inadequate manpower, this study four regional hospitals as military case study analysis unit annual renovation works contractors choose to adopt self-management and design advantages and disadvantages on commission, compile and summarize the project the number of cases budget amount, quality engineering professionals, engineering administrative processes and design and engineering technology services procurement due to the design phase of extending the four issues and put forward for improvement and recommendations for project organizer of the annual renovation project planning and design stage operating sophisticated reference.