This paper presents some of the challenges that the Romanian public hospitals are confronted with when seeking to procure the goods required to perform their daily activity. As public units, they have to follow the specific legislation regarding the use and expenditure of public money. The Government Emergency Ordinance (GEO) no. 34/2006 with subsequent amendments and other secondary legislation set up the framework for public procurement together with its fundamental principles. A better usage of it, a better planning and a tighter collaboration between the administrative and medical departments will lead to a more efficient way of spending the public money and to an improvement in the procurements’ results, the medical personnel’s activity and the quality of the services provided to patients