Introduction: Today, the use of strategic planning capacities can well illustrate the development path of university exercise. The aim of this study was to design sports strategies at Shiraz University of Medical Sciences at all levels of the organization. Methods: The present study was descriptive and the statistical population was in several groups. The Delphi method was used to assess the strengths, weaknesses, opportunities and threats, as well as identification of mission, vision and exercise values in Shiraz University of Medical Sciences. Snowball sampling method was carried out to achieve theoretical saturation. In this phase, 55 individuals were identified as managers and experts. In the second step, to identify internal and external factors, Swat model (Strengths, Weakness, Opportunities, and Threats) was used for statistical population including all students, staff, teachers of Shiraz University of Medical Sciences. A sample of 344 students was selected based on simple random sampling from students of Shiraz University of Medical Sciences. In the second stage, 27 teachers and 28 employees of Shiraz University of Medical Sciences were selected to examine the strengths, weaknesses, opportunities and threats by available sampling method. The questionnaire was a researcher-made SWOT questionnaire, which included SWOT factors (weaknesses) and external factors of SWAT (opportunities and threats). In order to evaluate the data, weighted method and SWOT-related statistical methods such as strengths, weaknesses, opportunities and threats (SWOT), and position assessment matrix and strategic action (SPACE matrix) were used. Results: The low level of interest of male students in sport and physical activity with a final coefficient of 0. 412 was the most important disadvantage of sport in Shiraz University of Medical Sciences. Also, the importance of exercising and physical activity in the community with a final coefficient of 0. 476% was the most important opportunity of sport. Conclusions: Sports strategy point of Shiraz University of Medical Sciences was conservative in the region. In order to develop sports, planning is recommended to address the weaknesses.