[6] A major upgrade for oncology services was completed with the opening of the Shoalhaven Cancer Care Centre, equipped with a linear accelerator to administer radiation therapy and onsite carer's accommodation.

[4] Other specialist services can be accessed at SDMH such as obstetrics and a maternity ward as well as clinics including physiotherapy, acute pain management, dietetics, occupational therapy and speech pathology.

[9] By the late 1980s, the hospital had grown to 125 beds including an Intensive Care Unit and paediatric ward, however this number was reduced to 96 in 1991.

[11] In 2013 the $34.8 million Shoalhaven Cancer Care Centre was completed and was officially opened by Jillian Skinner, the state's Health Minister.

[12] An announcement from the minister also came in October of that year that the hospital would close 12 beds in Medical Ward B for six months over the summer due to a lack demand.

The community largely supported the NSW Nurses and Midwives Association's view that the move was a cost-cutting exercise which would impact on the standard of care the hospital could provide to the Shoalhaven[13] The state government was criticised in 2014 for allocating only 3 intern positions to SDMH, a number considerably less than other regional hospitals, citing the facilities ability to supervise the graduates.