A relationship that occurs between the doctor and dentist and the patient will create an examination result that contains an explanation of the patient's health condition. The results of doctor and dentist examinations of patients are summarized in a medical record summary, the contents of the medical record belong to the patient which is confidential and must be guarded by the dentist, so all medical secrets contained in the medical record are the full rights of the patient concerned. Medical record files need to be kept confidential so that they are not easily read by parties who are not competent to know the patient's medical secrets. Based on this background, the authors formulate a problem, namely how the effectiveness of the implementation of medical secrets at the Dental And Oral Hospital (RSGM) Of Jenderal Soedirman University Purwokerto. And what are the obstacles to implementing medical secrets at the Dental And Oral Hospital (RSGM) Of Jenderal Soedirman University Purwokerto. This study aims to explain the analysis of the effectiveness of the implementation of medical secrets at the dental and oral hospital (rsgm) of jenderal soedirman university purwokerto and the analysis of obstacles to the implementation of medical secrets at the Dental And Oral Hospital (RSGM) Of Jenderal Soedirman University, Purwokerto. This research is a juridical type of research sociological, by examining the legal provisions of primary data obtained from informants and resource persons by conducting field research in the form of observations and interviews and secondary data in the form of primary, secondary and tertiary legal materials, then analyzed qualitatively and the results of the analysis. Which is explained by the descriptive method. Research location at the Dental And Oral Hospital (RSGM) Of Jenderal Soedirman University Purwokerto. Based on the results of the analysis, it was concluded that the Dental And Oral Hospital (RSGM) Of Jenderal Soedirman University Purwokerto in carrying out medical confidentiality related to medical records was carried out in accordance with peraturan menteri kesehatan number 269 of 2008 concerning medical records. However, its implementation has not been carried out effectively because the medical record work unit of the Dental And Oral Hospital (RSGM) Of Jenderal Soedirman University Purwokerto does not yet have a medical record confidentiality policy, but the rsgm hospital refers to the policy of patient and family rights. So that the process of implementing the confidentiality of medical records in the Dental And Oral Hospital (RSGM) Of Jenderal Soedirman University Purwokerto unit has been carried out properly, namely in terms of room access rights filling. In addition, there are obstacles in the implementation of medical records at the Dental And Oral Hospital (RSGM) Of Jenderal Soedirman University Purwokerto related to the existence of legal factors, namely hospital policies regarding the imposition of sanctions for violations of confidentiality of medical records. In addition, there is a lack of facilities and facilities for storing and filing medical records.