PurposeMedical libraries can extend their resources’ accessibility by creating a network through web-based geographical information system (WEBGIS) that connects physical and non-physical resources. Geographical information system (GIS allows) libraries to create strong connections with other libraries by establishing a shared server for loading and using digital information. This research aims to explore the feasibility of creating a unified GIS-based service system for medical libraries.Design/methodology/approachThe target population for this study includes a total of 32 medical libraries across three medical universities (in this case called A, B and C). A researcher-designed 34-item questionnaire was applied in this study.FindingsFindings revealed that the libraries affiliated with University A have the highest average (46.54%) and better situation in terms of all of the needed infrastructures. Furthermore, in terms of the technical infrastructure required for implementing the integrated WEBGIS, the libraries of University B are in a better situation in comparison with other libraries (64.55%). Weak technical infrastructure belongs to libraries affiliated with University C, with 59.17% availability of infrastructure. The findings underscored the existing gaps in various aspects and highlighted the need for further improvements, particularly in financial and legal aspects, to enhance the overall availability of infrastructure.Originality/valueThis study was conducted for the first time in medical science libraries. The findings of this research shed light on the shortages within the surveyed universities in terms of human infrastructure. Results highlight the need for financial, legal and technical support to bridge the gap between the current status and the desired situation. By focusing on improving the various infrastructural aspects, libraries can foster a conducive environment for the effective utilization of spatial information systems, ultimately benefiting academic research, education and overall information management in the field of medical sciences.