Art Museum
Santa Maria della Scala

Image: Wikimedia Commons.
Santa Maria della Scala is an art museum in Siena, Italy.
About Santa Maria della Scala
Santa Maria della Scala (also referred to as the Hospital, Ospedale, and Spedale) is located in Siena, Italy. Now a museum, it was once an important civic hospital dedicated to caring for abandoned children, the poor, the sick, and pilgrims. Revenues were earned partially from bequests and donations from the citizens of Siena, particularly the wealthy. The head of the hospital was the rector who managed the lay brothers responsible for its operation.
Santa Maria della Scala was one of Europe's first hospitals and is one of the oldest hospitals still surviving in the world. It played a major cultural role and is considered one of Siena's 3 main artistic hubs.
Santa Maria della Scala by the numbers
- Founded
- 1998
- Visitors / year
- 66,767
- Collection
- 1,250 objects
Plan your visit
Santa Maria della Scala
- Website
- santamaria.comune.siena.it
- Get Tickets
- Book on Tiqets
We may earn a commission from ticket bookings, at no extra cost to you.
Overview
Santa Maria della Scala is a vast museum complex in Siena, Italy, occupying the building of one of Europe's earliest and largest civic hospitals. Located directly across the Piazza del Duomo from Siena Cathedral, it was founded in the late 9th century and operated continuously as a hospital until 1995, when it was converted into a cultural and museum center. With approximately 350,000 cubic meters of built volume and 13,000 square meters open to the public, it ranks among the oldest surviving hospitals in the world and is considered one of Siena's three principal artistic hubs, alongside the Palazzo Pubblico and the Duomo.
Founding & history
The hospital's origins blend documented fact with medieval legend. According to tradition, it was founded in 898 by a cobbler named Sorore, whose mother had dreamed of a ladder to heaven; this legend, however, was likely fabricated by the Dominican friar Gregorio Lombardelli in his 1585 hagiography. The first certain documentary mention is a deed of gift dated March 29, 1090. The hospital was established by the canons of Siena Cathedral to serve pilgrims traveling the Via Francigena, the main road to Rome. A papal bull from Pope Celestine III in 1193 (formally issued June 15 and 17, 1194) resolved conflicts between clergy and laity by declaring the hospital an independent lay institution. The first rector, Beringerio, was appointed in 1200, though the first documented rector with significant building activity was Incontrato degli Incontrati in 1295. The Council of Siena assumed control of rector nominations in 1404, making it a city office. During the 18th century, the hospital became affiliated with the university, and it maintained active medical and charitable functions until 1995. Conversion to a museum began that year, with phased public opening as restoration progressed. The current museum complex was formally established in 1998, based on an architectural recovery project by Guido Canali, winner of an international competition in 1992. Since January 2024, the Fondazione Santa Maria della Scala has been presided over by cultural manager Cristiano Leone.
Collection scope
The museum's collections span nearly a thousand years of Sienese history, from antiquity to the modern era. The holdings are distributed across four levels of the building and encompass archaeological materials, medieval and Renaissance fresco cycles, sculpture, decorative arts, and contemporary art installations. The complex integrates monumental spaces with narrow corridors, tufa-carved galleries, and large brick-vaulted halls. Key thematic areas include the National Archaeological Museum, relocated to the complex's underground levels in 1993, which displays Etruscan and Roman materials from sites throughout the Sienese territory; the medieval and Renaissance hospital spaces with their original decorative programs; and contemporary exhibition spaces managed by SMS contemporanea, transferred from the Palazzo delle Papesse in 2008. The total exhibition surface covers approximately 14,000 square meters.
Notable holdings
The artistic centerpiece is the Pellegrinaio, or Pilgrim's Hall, containing the most important fresco cycle of 15th-century Siena. The walls feature works by Domenico di Bartolo including Cura e governo degli Infermi (1440-1441), Distribuzione delle elemosine (1441), Accoglimento e nozze dei trovatelli (1441-1442), and Il banchetto dei poveri (1443-1444); Priamo della Quercia's Il Beato Agostino Novello conferisce l'investitura al Rettore dell'Ospedale (1442); and Vecchietta's Sogno della madre del Beato Sorore (1441). The Old Sacristy contains additional paintings by Vecchietta. The church of the Santissima Annunziata, renovated in 1446 and raised between 1467 and 1471, preserves significant architectural and decorative elements. The complex also houses the original marble sculptures of Jacopo della Quercia's Fonte Gaia, commissioned in 1409 and removed from the Piazza del Campo for conservation; these include the Madonna, the Virtues, Sapienza (1414-1418), Rea Silvia (also called Caritas publica, 1.63 meters in height), and Acca Larenzia (1.65 meters in height). The National Archaeological Museum holds important collections of bucchero ware and black-figure and red-figure pottery from Etruscan sites including Chiusi, Montepulciano, Monteroni d'Arbia, Sarteano, Monteriggioni, Murlo, and Castelnuovo Berardenga, assembled from the Bargagli Petrucci, Bonci Casuccini, Mieli, Chigi Zondadari, and municipal collections, plus the Bichi Ruspoli Forteguerri donation.
Building & site
The complex occupies a strategic position on the southern extremity of the hilltop where Siena Cathedral stands, exploiting an artificial terracing system of Roman origin with three distinct levels. Archaeological investigations have revealed remains of a probable 4th-5th century thermal establishment on the middle terrace, spoliated during the Gothic War and later used for burials. When construction began in the 9th century, the area contained wooden huts, two small masonry structures, and numerous underground spaces later documented as cellae. The main entrance faces the Piazza del Duomo, directly opposite the cathedral steps that give the institution its name. The building extends across the contrade of Aquila and Selva in the Terzo di Città, bordering the Via del Capitano (with the Palazzo Squarcialupi) to the left and the Via dei Fusari (with the Casa del Camerlengo) to the right, with the rear facing the Via del Fosso di Sant'Ansano. Key architectural additions include the Church of the Santissima Annunziata (end of 13th century, completely renovated late 15th century), the first Pellegrinaio converted from the original church in 1250, the second Pellegrinaio with the added halls of Sant'Ansano and San Galgano around 1325, the Palazzo del Rettore (1290), and the Casa delle Balìe (1298). The facade's central portal preserves the location of a lost fresco cycle by Pietro and Ambrogio Lorenzetti (Stories of the Virgin, 1335). A clock was added to the facade in 1643 by the Sienese clockmaker Sallustio Barili, featuring a verge escapement later replaced by an anchor escapement, with a single hand and a six-hour striking mechanism. Significant 19th-century restoration adapted spaces to modern hospital needs while reviving trecento and quattrocento styles in a neo-Gothic manner.
Visiting
Santa Maria della Scala is located at Piazza del Duomo 2, directly facing Siena Cathedral. It is owned by the city of Siena and operates as a public museum complex. The site is accessible from the cathedral square and is distributed across four levels, though the second level is not open to visitors. The fourth level (piazza level) contains the Chiesa della Santissima Annunziata, the Sagrestia Vecchia, the Palazzo Squarcialupi, the Cappella della Madonna, and the Cappella del Manto with Domenico Beccafumi's fresco. The third level includes the Corticella, the medieval Fienile housing the Fonte Gaia originals, active lay confraternities (the Compagnia dei disciplinati sotto le volte dell'ospedale and the Compagnia di Santa Caterina della Notte), the Magazzini della Corticella, and the Tesoro di Santa Maria della Scala. The first level contains the Museo Archeologico Nazionale, the Compagnia di Santa Maria sotto le Volte, and the Chiasso di Sant'Ansano. The museum hosts temporary exhibitions in spaces such as the Sala San Leopoldo. Information is available through the official website at http://santamaria.comune.siena.it. Restoration and expansion of museum functions remain ongoing, preserving the building's characteristic multifunctionality.