The importance of maintaining performance of a hospital operating theater is to establish an adequate circulation of clean air within the room. The parameter of air distribution in a space should be based on Air Changes per Hour (ACH) to maintain a positive room pressure. The dispersion of airborne particles in the operating theater was governed by regulating the air distribution so that the operating theater meets clean room standards ie ISO 14664 and ASHRAE 170. Here, we introduced several input parameters in a simulation environment to observe the pressure distribution in the room. Input parameters were air temperature, air velocity and volumetric flow rate entering and leaving room for existing and designed condition. In the existing operating theatre, several observations were found. It was found that the outlet air velocity at the HEPA filter above the operating table was too high thus causing a turbulent airflow pattern. Moreover, the setting temperature at 19°C was found to be too low. The supply of air into the room was observed at lower than 20 ACH which is under the standard requirement. Our simulation using FloVent 8.2™ program showed that not only airflow turbulence could be reduced but also the amount of particle contamination could also be minimized.