This study investigates healthcare communication at Yariman Bakura Specialist Hospital (YBSH) Gusau in Zamfara state, focusing on the use of the Hausa language. A quantitative approach was employed through a self-administered survey questionnaire distributed to both patients and staff (n=200) at YBSH. The survey explored language preferences, dialect variations, challenges, and communication strategies. Purposive sampling ensured a representative sample of staff (doctors, nurses, etc.) and patients with diverse backgrounds. Data analysis focused on the prevalence of Hausa use, dialect variations, and staff perspectives on communication strategies and medical terminology. The study found Hausa as the dominant language (77% of staff, 64% of patients). However, dialect variations within Hausa (particularly Zamfarci) pose the challenges. The study identified a gap in using Hausa medical terminology. While staff primarily rely on interpreters (50%) and simplified explanations (45%), limited resources and knowledge restrict the use of medical terms in Hausa (5%). To improve communication, the study recommends developing a Hausa medical dictionary (focusing on Standard Hausa and Zamfarci dialects) and staff training programs on medical terminology. Additionally, a multi-pronged approach that includes interpreters, simplified explanations, and Hausa medical terminology is recommended for effective communication.