Santa Maria della Scala: Medieval Hospital and Museum

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Historical Introduction

Santa Maria della Scala is one of the most important monumental complexes in Siena and one of the oldest hospitals in Europe. Located opposite the Siena Cathedral, this extraordinary building has had a long and fascinating history, transitioning from a medieval hospital to a modern museum. Its history and transformations over the centuries offer a unique window into Sienese life and culture through the ages.

The Origins of the Hospital

The hospital of Santa Maria della Scala was founded around the 9th century. Its exact origins are shrouded in mystery, but it is believed to have initially served as a refuge for pilgrims traveling along the Via Francigena, the main pilgrimage route connecting Rome with northern Europe. Over time, the hospital developed and became an important charitable institution, providing assistance not only to pilgrims but also to the poor, orphans, and the sick.

Architectural Evolution

Santa Maria della Scala underwent numerous expansions and architectural transformations over the centuries. In the 13th century, the hospital was expanded to include new wards and services. Architectural interventions continued throughout the 14th and 15th centuries, with the addition of numerous chapels and oratories, including the Chapel of the Madonna, famous for its frescoes.

One of the most interesting aspects of the architecture of Santa Maria della Scala is the way the building develops over several levels, following the hilly terrain of the city of Siena. This complex structure reflects the gradual growth of the hospital and the need to adapt to the demands of a growing population and the pilgrims flocking to the city.

The Frescoes and Works of Art

Santa Maria della Scala is renowned for its frescoes and works of art that decorate its halls and chapels. Among the most important fresco cycles are those in the Sala del Pellegrinaio, created by some of the greatest artists of the 15th century, including Domenico di Bartolo and Lorenzo Vecchietta. These frescoes depict scenes from the daily life of the hospital and the works of mercy performed by its benefactors.

Another artistic masterpiece within the complex is the Chapel of the Manto, frescoed by Domenico Beccafumi, one of the leading exponents of Sienese Mannerism. The chapel is an extraordinary example of how Renaissance art was used to glorify religion and charity.

The Role of Santa Maria della Scala in the Community

In addition to its healthcare function, Santa Maria della Scala played a fundamental role in the Sienese community as a center of assistance and charity. The hospital was managed by a lay organization and received donations from wealthy benefactors, who often financed the construction of new chapels and wards in exchange for perpetual prayers for their souls.

Santa Maria della Scala was also one of the first hospitals to have a specialized pediatric ward, demonstrating a pioneering approach to the care of orphaned and sick children. The facility had a ward for abandoned infants, called the “Casa dei Convalescenti,” where children were cared for until they could be adopted or trained in a trade.

Decline and Renaissance

Over the centuries, the importance of Santa Maria della Scala as a hospital diminished, and the building began to show signs of deterioration. By the late 19th century, many of its healthcare functions were transferred to newer, more modern facilities, and the Santa Maria della Scala complex fell into disuse.

However, starting in the 1980s, the building underwent an extensive restoration and recovery program, transforming it into one of Siena’s most important museum complexes. Today, Santa Maria della Scala hosts a wide range of exhibitions, spanning from medieval to contemporary art, offering visitors a fascinating journey through Sienese history and culture.

The Museum Today

The museum complex of Santa Maria della Scala is divided into several sections, each offering a unique experience. Among the main attractions are:

  • Sala del Pellegrinaio: Here, visitors can admire the 15th-century frescoes depicting the life of the hospital and the charitable works of its members.
  • Chapel of the Manto: Decorated by Domenico Beccafumi, this chapel is an extraordinary example of Mannerist art.
  • Archaeological Museum: Located in the hospital’s underground chambers, the museum houses a rich collection of Etruscan and Roman artifacts.
  • Temporary Exhibitions: Santa Maria della Scala regularly hosts temporary exhibitions of contemporary and historical art, further enriching the complex’s cultural offerings.

Guided Tours and Educational Activities

The Santa Maria della Scala museum offers numerous guided tours and educational activities for all ages. Guided tours are available in various languages and are conducted by experts who provide insights into the history, art, and architecture of the complex. Additionally, the museum organizes workshops and educational activities for children and teenagers, promoting the knowledge of Siena’s cultural heritage through interactive and engaging experiences.

Santa Maria della Scala and Cultural Tourism

Santa Maria della Scala has become a must-visit destination for those traveling to Siena. Its central location, opposite the Cathedral, makes it easily accessible to tourists exploring the historic center of the city. The combination of art, history, and architecture offered by the complex attracts visitors from all over the world, contributing to making Siena one of the main destinations for cultural tourism in Italy.

Albergo Minerva: Your Starting Point for Discovering Santa Maria della Scala

If you wish to explore Santa Maria della Scala and the other wonders of Siena, Albergo Minerva is the ideal starting point. Located in the heart of Siena, Albergo Minerva offers warm hospitality and all the comforts necessary for an unforgettable stay. Its spacious and well-furnished rooms are the perfect place to relax after a day of cultural visits.

At Albergo Minerva, the staff will be happy to provide you with all the necessary information to organize your visit to Santa Maria della Scala and suggest the best itineraries to discover Siena’s historical and artistic heritage. Thanks to its central location, you will be just a few steps away from the city’s main attractions, making your stay even more pleasant and convenient.

Book your vacation now by clicking on the top right and get ready to experience a unique adventure among the historical and artistic beauties of Siena. Do not miss the opportunity to immerse yourself in the rich history of Santa Maria della Scala and discover the secrets that make this complex a jewel of Italy’s cultural heritage.


Santa Maria della Scala is much more than just a museum; it is a place where history comes to life through art and architecture. Plan your visit to Siena and let yourself be fascinated by this extraordinary complex that tells centuries of dedication, care, and beauty.

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