Heart disease is the number one cause of death in the US. “More than 1.5 million Americans will have a heart attack this year.” (Sangiorgio, 59) With growing concern for the population of people with heart problems, health care facilities, specifically hospitals, are starting to specialize in heart and cardiac care. Most of the facilities that specialize in heart and cardiac care lack in outdoor environments for their patients. The outdoor environment has been used for healing as far back as the Middle Ages. Reinventing these areas and improving them to accommodate those with heart problems could be one of the best ways to improve the health of a patient. The outside environment can help the healing process and this study will help prove how it can be useful.Designing for therapeutic outdoor spaces is a fairly new field in Landscape Architecture. Before more spaces and facilities are built, there is a need to educate health care providers, insurance providers, care takers and patients about the benefits of outdoor healing gardens. Every day there are new improvements and articles educating about the benefits of this kind of treatment. In this project, the author set up guidelines and applied the newest information to a specific site.In today’s society when a hospital is built, great care is taken to make sure the building has the most technologically advanced equipment as possible. While specific attention is devoted to the technological equipment inside a hospital, not much care is taken in the design of the landscape around the building. As with this project, many therapeutic garden designs today are placed in existing hospitals.This project is a design of a cardiac/heart recovery and recreation garden at the new heart center in Castleton Indiana. The project incorporated finding the best location for the garden and how to incorporate cardiac therapy on that location. The project is a detailed plan for a therapeutic roof garden.