The construction of Regional Cancer Centre at North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong presented significant challenges due to the steep terrain. The scope of work included the detailed design, construction, and installation of state-of-the-art water treatment facilities, as well as latest medical equipment, operational software, hardware, and facilities for a 325-bed Regional Cancer Hospital, colleges, residential and hostel complexes, service blocks, etc. The fully equipped RCC Hospital is a significant asset to the state of Meghalaya.