The Grand Republic Medical Facility, also known as the Grand Medical Facility, was a towering medcenter located on Coruscant, the capital planet of the Galactic Republic. During the Clone Wars, the facility was used as a hospital to treat badly injured Republic Military personnel. In addition, the facility treated patients from across the galaxy. One such patient was the Sith Lord Darth Vader, who required cybernetic reconstruction as a result of the injuries he sustained on Mustafar. Darth Sidious, the secret persona of Supreme Chancellor Sheev Palpatine, used the facility as his retreat prior to proclaiming himself Galactic Emperor.
The facility remained in use during the reign of the Galactic Empire, although its secret role as Sidious' Sith haven was transferred to the Imperial Palace. During the Galactic Civil War, Sidious brought Vader to the facility to be rebuilt following his journey to Exegol.
The Galactic Republic medcenter known as the Grand Republic Medical Facility was a skyscraping tower in Galactic City, the planet-wide ecumenopolis of the Republic capital Coruscant. The facility's lower levels were restructured to accommodate Darth Sidious' new Sith lair, and also housed a meditation chamber for the Sith Lord's use.
The facility was regarded as a high-value target during the Clone Wars due to its role as a Republic treatment center, and therefore fortified with strong defense systems and powerful weaponry. Its security forces comprised the clone shock troopers of the Coruscant Guard and Supreme Chancellor Sheev Palpatine's Red Guards.
The Grand Republic Medical Facility was operated by the Galactic Republic since at least the High Republic Era. The mentally distraught Jedi Knight Azlin Rell was brought to the facility in the aftermath of the Battle of Dalna after Rell was traumatized by his encounter with a Nameless during the battle. His carers remained unaware and confused by what he had encountered. Rell regularly experienced nightmares about his experience and began hurriedly writing a journal about the creatures. When the bounty hunter Vol Garat broke into his room to demand information on the Nameless, intending to use the creatures against the Jedi Order himself, Rell remained preoccupied with the journal until the enraged bounty hunter knocked it away, ripping out several pages in the process. The commotion was heard by two nearby personnel, but Garat remained out of sight as they entered, leaving them to assume the mess was Rell's own doing after another nightmare. The officials decided that Rell needed rest instead of hospital care and thus transferred him to the Gravan Monastery on the moon Grava, unaware that Garat had overheard their entire conversation. With less security at the monastery, Garat attacked Rell again on the moon, but was fought off by the Wookiee Jedi Arkoff.
The Grand Republic Medical Facility was still operated by the Republic during the Clone Wars. Following a premature activation of Clone Protocol 66 on Ringo Vinda, and a subsequent investigation on Kamino, Jedi Master Shaak Ti and Doctor Nala Se traveled to the facility bringing with them two inhibitor chips and ARC trooper Fives as instructed by Supreme Chancellor Sheev Palpatine. However, the clone trooper fled the facility for attempting to assassinate the chancellor, an act motivated by the revelation of Palpatine's involvement in a conspiracy to destroy the Jedi Order.
In the aftermath of the incident with the renegade clone, Palpatine—a secret Dark Lord of the Sith known as Darth Sidious—moved his collection of Sith relics and artifacts from an abandoned tower in The Works district to the Grand Medical Facility, fearing they would be discovered by the Jedi.
After the rise of the Galactic Empire, a severely damaged Darth Vader was taken to the facility by the now-anointed Emperor, Darth Sidious. Utilizing a team of medical droids, Sidious had his apprentice surgically reconstructed and placed within a cybernetic suit in order to survive his wounds. Vader revisited the facility, which was still operational at the time of the Galactic Civil War, to be repaired after his excursion to Exegol.
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