The current study aimed to identify the reality of social services in the governmental health sector in the Sultanate of Oman and the satisfaction of receivers of health social services, to recognize the obstacles facing the development of social services in the health sector and to propose developments that align with Oman Vision 2040. The current study is a descriptive study as it relied on the analytical descriptive approach by applying the comprehensive social survey approach to social workers, working in the governmental health sector, in the Sultanate of Oman and who are affiliated to the Ministry of Health and Sultan Qaboos University Hospital. There was a total number of 92 social workers, and two different studying tools were used to conduct the study. The first tool was an electronic questionnaire which was applied on the health social workers and the second tool was conducting interviews, which was used for a random sample of patients who had previously benefitted from the services of health social workers. The study concluded that the health social services are effective according to the specialists’ perspective, but not to the standard as per the patients view due to some obstacles that hinder its development, of which the most significant are the institutions’ related obstacles. The study also presented a proposal to develop the health social service and implement mechanisms to align with Oman Vision 2040.