Administrative leaders conserned to understand the challenges which are faced their organizations and try to assimilate and adapt with the extent that achieves to it efficiency and effective- ess, and standing face to face to faceing any challenge.that threaten it’s existence thro- ugh using modern inputs reached to that level of these  challenges and applied the study on a sample deliberate random from teaching hospitals of the Directorate General for Health Baghdad Karkh, and the Directorate General for Health Baghdad Rusafa and the City of Medicine , The importance of the objectives of the study to identify the types of regulatory challenges facing the organization, and the types of ritual practice in hospitals, in order to determine the nature and the type and strength of correlation between the regulat-ory challenges and  organizational Rituals as well as to determine the nature and level of impact of the challenges in the ritual , and develop the goals a set of hypotheses Alrisahib add (2) and sub-number (12) that formed together a model hypothetical study included variables surveyed, formulated on the basis of these assumptions ,and tested statistical analysis ready SPSS and select correlation level of moral high of variables respondents as well as for the following challenges in the rituals and concluded researcher that sense of a sample study of the challenges and what is happening around them of significant changes and ongoing about their jurisdiction in the case of keep going and this refers to the ability of the sample to reconcile between the requirements of their work face and continue to achieve scientific development to their specialization on the other hand and check the degree of vigilance of the sample on the variables are subsets of the rite (motivation, planning, commitment, formal decision, the criteria core) and here comes the role of the administration in the possibility of progress and make a kind of growing interest about those rituals which achieves state of harmony and adaptation.