Princess Anne visited the West Midlands yesterday to open a new multi-million pound hospital.
The Princess Royal was in Dudley to perform the official opening of Russells Hall Hospital - about two decades after she opened the original one.
She was greeted by officials for a tour of the site's units and departments.
The building has been transformed as part of a £160 million revamp of hospitals in the borough.
New accident and emergency and maternity units have been provided at Russells Hall while two new outpatient centres have been built at the Guest and Corbett Hospitals in Dudley and Stourbridge.
After touring ground floor departments, she performed an opening ceremony in the hospital's first floor education centre.
Alfred Edwards, chairman of the Dudley Group of Hospital's NHS Trust, thanked the Princess for her continued support 22 years on.
"As well as Russells Hall, this occasion celebrates the opening of our two other new hospitals in the Group - the Corbett Hospital in Stourbridge and the Guest Hospital in Dudley, both of which have long associations with each town," he said.
"These new hospitals represent significant investments in health care for our local population and put us among the most technically advanced and modern in the country."
He told the Princess: "The Dudley Group of Hospitals is a high performing trust and I am sure all of our patients, both present and past, our dedicated staff, our PFI partners and all our stake-holders will be delighted that you have honoured us with your presence today."
Trust chief executive, Paul Farenden, said: "We are delighted that the Princess has visited us to officially open Russells Hall, some 20 years after she opened the original hospital."