The appellant, a practising medical doctor, operated a private surgery at Stand 17330, 42 Duiker Crescent, Borrowdale West, Harare, with a permit from the respondent City of Harare. She applied for special consent in terms of section 26(3) of the Regional Town and Country Planning Act to convert the surgery into a residential clinic with 15 beds for patient admission and convalescence. Two objections were received, including one from a residents' association comprising three immediate neighbours. Objectors raised concerns about exposure to infectious diseases, litter, increased human and vehicular traffic including ambulances at all hours, and noise nuisance. The respondent refused the application on grounds that: (a) the objections were material especially from a health perspective and no special circumstances justified consent; (b) two objections including a residents' petition indicated general rejection of the proposal; and (c) the stand size of 4087 square metres and its location were neither ideal nor adequate for such a clinic. The appellant appealed to the Administrative Court, which dismissed the appeal. She then appealed to the Supreme Court.