Cooling tower is essential to both industrial development and comfortable living. Its development is closely related to human civilization and quality of life. To achieve the cooling effects and the efficiency performance of high inlet/outlet water temperature difference (Δt) of cooling towers, a number of modern high technologies have been applied, while the design of cooling towers focuses on lightweight, compact size, elegant appearance, and durability. This study studied the performance of fanless cooling tower when applied in a chiller cooling water system of the central air-conditioning in a hospital and discussed the problems and solutions that the fanless cooling tower encountered during practical use and explored whether there is any room to improve energy conservation according to the data recorded in the process of operation. This study also verified the performance and advantages as specified by the manufacturer to provide a reference to the design and installation of same type cooling towers in the future. © 2011 Asian Network for Scientific Information.