In the cable wall system, the cable tension force can be changed by the various reasons. After 10 years from the construction of cable wall system in Hamad Medical City Womens Hospital of Qatar, an average of about 16% of the tension force was decreased. Since the tension loss can affect the structural capacity and stability, the re-tightening was carried out up to about 90% of the design tension. Also, the annual regular inspection including the measurement of cable tension is proposed as the maintenance plan.