Abstract
<jats:p>The San Francisco Javier Psychogeriatric Centre in Pamplona occupies the former Manicomio Vasco Navarro, a psychiatric complex designed by Máximo Goizueta, be-gun in the late nineteenth century and brought into use in the early twentieth century. Over time, land transfers, additions, refurbishments and functional changes altered its configuration, producing technical and healthcare obsolescence. Nevertheless, the complex preserved the essential logic of a pavilion-based healthcare model: low-rise buildings, ground-floor galleries, courtyards, gardens and open spaces shaped by a hy-gienist and therapeutic understanding of architecture, in which sunlight, ventilation, domestic scale and outdoor space formed part of the care environment. This article analyses the refurbishment not as the preservation of a historic image, but as the reac-tivation of the complex’s typological logic, environmental qualities and tectonic ade-quacy. In the context of the renewal and adaptive reuse of healthcare infrastructures, the study examines functional reprogramming, contemporary extensions through new volumes, material continuity and innovative construction solutions applied to existing heritage. The refurbishment and extension of psychiatric units U1.1 and U1.2 are se-lected as a case study in the sustainable management of healthcare heritage through a strategy of prosthetic memory. The research draws on primary documentation from the architects’ archive and site supervision process.</jats:p>