According to the sustainable architecture theories, the building with a high level of thermal performance is the building that has the high percentage of thermal comfort accomplishment and low level of energy consumption. Thermal comfort is a building's criteria in order to make the building's users activity become optimal. It can be achieved by natural ventilation/NV system and air conditioning/AC system that may either preserve or consume a great deal of fossil energy. Hence, climatic parameters and architecture design aspects could always determine its accomplishment. Ward is the primary section of hospital installation which functions as patient's house while they undergo their healing process, whereas hospital is a primary public facility in any contemporary urban setting. From the energy using side, hospital is the public building type that has high level of fossil energy consumption. Therefore, the development of high level's thermal performance ward will contribute to environment sustainability by reducing its fossil energy combustion. For that matter, it is then important to know which ward's design aspects that may become the dominant factors for the thermal comfort establishment and efficient energy use. The goal of this research is mainly to disclose the relationship between thermal performance and architecture design aspects in lowland warm humid tropics ward. The research methods are quantitative method (by using statistical test, linear regression analyses and correlative analysis based on the building's physics theory) and field case study. The results of this research are the architecture design aspects of lowland warm humid tropics ward that have been dominant factors on its thermal performance level; that are the building's orientation toward the sun and the building's layout plan within the site. Keywords-Thermal performance, Architecture design aspects, Lowland warm humid tropics, Ward I. INTRODUCTION The most thermal comfort research has been done in public building such as offices, classroom or lecture room that regularly operate about eight hours per day [1]-[10]. Yet rarely conducted in public building such as hospital ward that operates 24 hours per day along the year and even more rarely were done in the hospital wards that are located in warm humid tropics region like Indonesia [11]. Thermal comfort is one of the building's criteria in order to make the building's users activity become optimal [12]. Thermal comfort inside a building could be accomplished by natural ventilation/NV system and air conditioning/AC system that may either preserve or consume a great deal of fossil energy. Hence, climatic parameters (air temperature, radiant temperature, relative humidity, air movement) and architecture design aspects (the building's orientation toward the sun and open space around it, the building's layout plan and its rooms dimension, the building's facade) could always determine its accomplishment. According to the sustainable architecture theories, the building with good thermal performan...