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Medical libraries are continual sources of knowledge and information. Without this knowledge and information, there will be no researcher, teacher, and doctor. Libraries cannot share knowledge with knowledge seekers alone. In this scenario, the role of the librarian becomes very influential. A librarian is an information services provider. The providence of these services is dependent on the facilities which are required by librarians. Realizing the importance of this issue the researcher has carried out research to investigate issues faced by librarians while operating medical library services. This study was related to quantitative research methodology; therefore, the researcher adopted quantitative research methodology for this research work. The presented issue in this study was solved through collecting data, with the help of using different techniques associated with data collection techniques, description of collected data, analyzing collected data and then finding the solution to the problem after a detailed analysis of data. In this study, the university libraries located in Islamabad were the population of the study to collect data regarding library operational issues in medical university libraries in Islamabad. The findings of the study show that medical librarians are facing numerous issues. These issues are impending medical librarians to operate library services in effective and appropriate ways. So, this research work suggests that the budget of libraries should be increased, medical librarians should be trained to meet their challenges, and medical resources and digital resources ought to be augmented in the respective universities in Islamabad. The aforementioned strategies can be useful for medical libraries and can enable librarians to operate their library services in more influential and effective ways in terms of information providers. [ABSTRACT FROM AUTHOR]