The First City Clinical Hospital named after Pirogov N.I., one of the best and the oldest hospitals in Moscow, started its history in 1802 when the Golitsynsky clinic for the poor was constructed under the will and on money of the prince Dmitry Mihajlovich Golitsyn, the prominent Russian diplomat, and under the project of well-known architect Matvej Kazakov. The principle of city manor was used in the project. There was a temple in the hospital building which dome spiritualized all the construction. Later near to the Golitsynsky clinic the First Town hospital was founded, and after some decades the Second Town hospital was built. Nowadays all three clinics represent a united structure – The First City Clinical Hospital named after Pirogov N.I.
The reconstruction of hot and cold water supply systems in the 1st, 2d and 5th hospital cases took place in 2007.