Health facilities in Belize are vulnerable to natural hazards and the effects of climate change. Striking in November 2022, Hurricane Lisa left considerable damage in its path. Although the health sector was impacted, the five health facilities retrofitted as “smart” hospitals remained functional during and after the hurricane made landfall. An assessment by PASB found no structural damage to these buildings, and no power or water disruption was reported, thanks to smart (safe and green) interventions that had been implemented to update and adapt health facilities to withstand natural and climate disasters. Critical services such as immunization, sexual and reproductive care, maternal and child health care, chronic disease medical services, and others remained accessible to communities. Infrastructure and systems such as electricity through solar power, water supply via rainwater harvesting, drainage, and others allowed the facilities to remain operational for patients, including those with COVID-19. Collaboration between PAHO and the Government of Belize, with support from the United Kingdom Foreign, Commonwealth, and Development Office, made this success possible, and further support has been received from the European Union to retrofit other health facilities.