The AI development in Taipei-Veterans General Hospital was primarily sponsored by the government research funding , our own institute and industry cooperation, which are initial propellers to produce articles, patents, technology transfer, and international activities, guidelines of federated learning and to cultivate our medical AI staffs. There is no doubt that the high technology industry is very important on the roadmap of the medical AI development in Taiwan. We could share our experience and huge amount of previous health data for analysis with to booster projects progression and create innovation. Our goal for a smart hospital aims to build the digital OR, AI medical record, and smart OPD and inward care on the roadmap of AI development. To cope with this, time, manpower, brain storming and investment are necessary. The future development of the medical AI needs more engagement of talented manpower, cross-field cooperation to gain more resources from government and industry support which is the key to cultivate the younger generation of medical AI experts. On the other hand, we need a nation-wide consortium to assist an efficient administrative processing to fasten the speed of any novel idea to project, project to patent, product to verification of AI based software as medical device (SaMD) and global market analysis. In this talk, I will give an overview of “The Current Status of Medical Artificial Intelligence Development in Taipei-Veterans General Hospital”.