The Niamey National Hospital (NNH) is among the reference hospital in the Niamey region (Niger) to after the quality of care it offers to the population. However, these activities have a negative impact on the quality of the water of the river constituting one of the main sources of water supply for the population of Niamey and gardening activities. This study aims to determine the physicochemical quality of wastewater from the NNH activated sludge treatment plant and its impact on the environment. To carry out this study, twenty (20) wastewater samples were taken at the outlet of the NNH treatment station. The sampling lasted five (5) weeks to take into count fluctuations. The results obtained indicate that the average values of physicochemical parameters such as: the pH (6,91), temperature (27.825°C), conductivity (574.80 µS/cm) and certain heavy metals of this hospital are compliance with national and international standards for wastewater discharge. However, it was noted that the average values obtained at the HNN for copper (1.982 mg/L); zinc (1.077 mg/L); in phosphorus (18.065 mg/L); DCO (808 mgO2/L) and DBO5 (442.5 mgO2/L) do not comply with national and international wastewater discharge standards. These abnormal levels must be treated before being released into the river.