Families in North Yorkshire say they're disappointed after losing their fight to retain some of the current services at the Friarage hospital in Northallerton.
After a public consultation, plans will now be put forward to scale back paediatric and maternity services there.
Some doctors say patients would receive more specialised care from larger hospitals like the James Cook in Middlesbrough which, they say, would be safer.
But campaigners say they're worried that there would be no consultants on the maternity ward, and no overnight paediatric care.
They've vowed to appeal the decision which could be approved next week.