SIUT started as 8 bedded ward in the Burns Ward of Civil Hospital. Later it was shifted to the third floor of Emergency Building of Civil Hospital. With the passage of time it was expanded and included urology and nephrology ward, operation theatre, lab, radiology, offices, stores, and transplant ward.
The old building of SIUT is now consists of 270 beds. It houses the main Emergency of SIUT comprising of 150 beds with dialysis and medical and critical care unit facility. The Adult Urology Department and main operation theatre are also included.