The existing hospital will eventually be demolished
Plans for a new Royal Liverpool hospital, which is set to cost almost £500m, have been unveiled.
A 14-week public consultation over the plans - which propose to replace the current Royal with a new one on the existing site - starts on Monday.
The plans have been drawn up involving 40 senior clinicians, more than 400 hospital staff and 150 patients.
Hospital management said the aim was to create a new world class hospital that local people deserve.
The proposals have already been through outline planning stages with the city council and the public consultation will start this Thursday at the Active Age Centre in Clubmoor.
Chief executive Tony Bell said: "The reality is that the Royal Liverpool University Hospital is the major teaching hospital for Merseyside and Cheshire and its that that's going to make it the world class centre of excellence.
"Ultimately, a new hospital would provide us with the ability to create an excellent, modern environment for clinical care and deliver a vastly improved patient experience."
The new hospital is expected to take four years to build once work starts in 2010.
The current Royal Liverpool opened in 1978 and the trust has previously said it would need major refurbishment in the next few years if kept open.