Kyowa Garden Clinic, located in Tone-machi, Kitasoma-gun, Ibaraki Prefecture, opened in 2017 as a medical and dental clinic, building on the legacy of the Kojima Clinic which was founded in 1942. Inheriting over 60 years of community healthcare history, the clinic features integrated internal medicine and dental departments within a single facility, allowing comprehensive health management including oral care to be completed in one location. In internal medicine, Dr. Keiki Saima, who spent over 25 years at the National Center for Global Health and Medicine, handles general lifestyle diseases including hypertension, diabetes, and kidney disease. Dr. Yoko Saima, with 14 years of experience in women's health clinics, provides attentive care for gynecological and menopausal issues specific to women. The clinic features a waiting room with large windows facing the garden and private IV rooms, creating a calm, wood-accommodated atmosphere. Designed with barrier-free accessibility allowing seamless movement from parking to the clinic without steps, it is easily accessible for wheelchair users and elderly patients. The clinic accepts credit cards and electronic payments in addition to English language support, making it a convenient community primary care provider used by patients of all generations.