Exhibit 3.2

                                      -26-


                              AMENDED AND RESTATED
                                     BYLAWS
                                       OF
                      HEALTHCARE REALTY TRUST INCORPORATED

                                    ARTICLE I
                                     OFFICES


     Section 1.1.  Principal  Office.  The principal  office of the  Corporation
                   ------------------
shall be  located at such place in the State of  Maryland  as the  Corporation's
Board of Directors may from time to time designate.

     Section 1.2. Other Offices.  The  Corporation may also have offices at such
                  --------------
other  places  within or outside the State of Maryland as the Board of Directors
may from  time to time  determine  or as the  business  of the  Corporation  may
require.


                                   ARTICLE II
                          MEETINGS OF THE STOCKHOLDERS

     Section 2.1. Place of Meetings.  Meetings of the stockholders shall be held
                  ------------------
at such place  within or outside the State of Maryland as shall be  specified in
the notice of the meeting or in a waiver thereof.

     Section 2.2. Annual Meeting. An annual meeting of the stockholders shall be
                  ---------------
held during the month of May of each year on a date and time  designated  by the
Board of  Directors  and as set  forth in the  notice  of the  meeting,  for the
purpose  of  electing  directors  and  transacting  such other  business  as may
properly be brought before the meeting.  Failure to hold an annual meeting or to
hold  such  meeting  at the  time  prescribed  herein  will not  invalidate  the
Corporation's existence or affect otherwise valid acts of the Corporation.

     Section 2.3. Special Meetings.  Special meetings of the stockholders may be
                  -----------------
called by the Chairman of the Board, the President,  the Board of Directors,  or
by such person or persons as may be authorized by the  Corporation's  Charter or
by these Bylaws.  Except as provided  below,  the  Secretary of the  Corporation
shall  call a special  meeting of the  stockholders  on the  written  request of
stockholders entitled to cast a majority of all the votes entitled to be cast at
the  meeting.  A request  for a special  meeting  shall state the purpose of the
meeting and the matters  proposed to be acted on at such meeting.  The Secretary
shall: (a) inform the stockholders who make the request for a special meeting of
the  reasonably  estimated  cost of  preparing  and  mailing a notice of and, if
applicable,  proxy materials in connection with that meeting; and (b) on payment
of these costs to the Corporation, notify each stockholder entitled to notice of
the meeting. Unless requested by stockholders entitled to cast a majority of all
the votes  entitled to be cast at the  meeting,  a special  meeting  need not be
called to consider any matter which is substantially  the same as a matter voted
on at any  special  meeting of the  stockholders  held during the  preceding  12
months.

                                      -27-


     Section 2.4.  Notice of  Meetings.  Not less than ten nor more than 90 days
                   --------------------
before each meeting of the stockholders,  the Secretary of the Corporation shall
give written notice of the meeting to (a) each stockholder of record entitled to
vote at the meeting and (b) each other stockholder entitled by applicable law to
notice of the meeting.  The notice  shall state the date,  time and place of the
meeting,  and the purpose of the meeting if the meeting is a special  meeting or
notice of the purpose is  required  by the  Maryland  General  Corporation  Law.
Notice is given to a  stockholder  when it is: (a)  personally  delivered to the
stockholder; (b) left at the stockholder's residence or usual place of business;
(c) mailed to the stockholder at the stockholder's  address as it appears on the
records of the Corporation;  or (d) transmitted to the stockholder by electronic
mail  to any  electronic  mail  address  of  the  stockholder  or by  any  other
electronic means. If mailed,  notice is deemed to be given when deposited in the
United States mail,  postage  prepaid,  and addressed to the  stockholder at the
stockholder's address as it appears on the records of the Corporation.

     Section 2.6.  Quorum.  The holders of shares entitled to vote as a separate
                   -------
voting  group may take action on a matter at a meeting  only if a quorum  exists
with respect to that matter.  The presence in person or by proxy of stockholders
entitled to cast a majority of all the votes  entitled to be cast on a matter by
a voting group shall  constitute a quorum at meetings of stockholders  except as
otherwise  provided by statute or by the Charter with respect to the adoption of
any particular matter. Once a share is represented for any purpose at a meeting,
the  holder is deemed  present  for quorum  purposes  for the  remainder  of the
meeting and for any adjournment of that meeting,  unless a new record date is or
must be set for that adjourned meeting.

     Section 2.7. Adjournment.  If a quorum is not present or represented at any
                  -----------
meeting of the stockholders,  the stockholders entitled to vote at such meeting,
present in person or represented  by proxy,  shall have the power to adjourn the
meeting from time to time, without further notice other than announcement at the
meeting,  to a date not more than 120 days after the original  record  date.  At
such adjourned meeting at which a quorum is present or represented, any business
may be transacted which might have been transacted at the original meeting.

     Section  2.8.  Majority  Rule.  Except  with  respect  to the  election  of
                    ---------------
directors  as  provided  in Section  3.5, a majority  of all the votes cast at a
meeting  of the  stockholders  at which a quorum is  present  is  sufficient  to
approve any matter which  properly  comes before a meeting of the  stockholders,
unless  the  vote of a  greater  number  is  required  by the  Maryland  General
Corporation Law, the Charter or these Bylaws.

                                      -28-


     Section 2.9. Voting. Each outstanding share of stock,  regardless of class,
                  -------
is entitled to one vote on each matter  submitted  to a vote at a meeting of the
stockholders,  unless  otherwise  provided  pursuant  to the  Charter  or by the
Maryland General  Corporation Law. Voting on any question or in any election may
be by voice vote  unless the  chairman of the meeting  orders  otherwise  or any
stockholder demands that voting be by ballot.

     Section 2.10.  Proxies.  Each stockholder  entitled to vote at a meeting of
                    --------
the stockholders or to express consent or dissent to corporate action in writing
without  a meeting  may  authorize  another  person  or  persons  to act for the
stockholder by proxy by signing a writing  authorizing  another person to act as
proxy.  Signing may be  accomplished  by the  stockholder  or the  stockholder's
authorized agent signing the writing or causing the  stockholder's  signature to
be affixed  to the  writing  by any  reasonable  means,  including  a  facsimile
signature.  A  stockholder  may  authorize  another  person  to act as  proxy by
transmitting,  or  authorizing  the  transmission  of,  a  telegram,  cablegram,
datagram,  electronic  mail or any other  electronic or telephonic  means to the
person  authorized to act as proxy or to any other person  authorized to receive
the proxy  authorization on behalf of the person authorized to act as the proxy,
including a proxy  solicitation  firm or proxy support service  organization.  A
copy, facsimile  telecommunication or other reliable reproduction of the writing
or transmission authorized hereunder may be substituted for the original writing
or transmission  for any purpose for which the original  writing or transmission
could be used. A proxy shall be filed with the Secretary of the  Corporation  at
or  before  the time of the  meeting.  Unless  the proxy  provides  for a longer
period,  it is not valid  more than 11 months  after its date.  A duly  executed
proxy shall be irrevocable if it conspicuously states that it is irrevocable and
if, and only as long as, it is coupled  with an  interest  sufficient  in law to
support an irrevocable  power. A proxy may be irrevocable  regardless of whether
the  interest  with which it is coupled is an  interest in the stock to be voted
under the proxy or another general  interest in the Corporation or its assets or
liabilities.

     Section  2.11.  Voting  of  Shares  by  Certain  Holders.   Shares  of  the
                     -----------------------------------------
Corporation registered in the name of a corporation, partnership, trust or other
entity,  if  entitled  to be  voted,  may be  voted by the  president  or a vice
president,  a general partner or trustee thereof, as the case may be, or a proxy
appointed by any of the foregoing individuals,  unless some other person who has
been  appointed to vote such shares  pursuant to a bylaw or a resolution  of the
governing board of such corporation or other entity or agreement of the partners
of the  partnership  presents a  certified  copy of such  bylaw,  resolution  or
agreement,  in which case such person may vote such shares. Any trustee or other
fiduciary  may vote  shares  registered  in his or her  name as such  fiduciary,
either in person or by proxy.  Shares of the Corporation  directly or indirectly
owned by it on the applicable  record date shall not be voted at any meeting and
shall not be counted  in  determining  the total  number of  outstanding  shares
entitled  to be  voted  at any  given  time,  unless  they  are  held by it in a
fiduciary  capacity,  in which  case they may be voted and shall be  counted  in
determining the total number of outstanding  shares at any given time. Shares of
the Corporation  acquired by it after the applicable  record date and before the
time of the  meeting  may be voted at the meeting by the holders of record as of
the  record  date and  shall be  counted  in  determining  the  total  number of
outstanding shares entitled to be voted at the meeting.

     Section  2.12.  Stock  Ledger;  List of  Stockholders.  The  original  or a
                     --------------------------------------
duplicate  of the  Corporation's  stock  ledger  shall be kept at the  principal
office of the Corporation's  transfer agent and registrar.  The officer or agent

                                      -29-

who has charge of the stock ledger books of the  Corporation  shall  prepare and
make, at least ten days before each meeting of the stockholders, a complete list
of the stockholders  entitled to vote at such meeting,  arranged in alphabetical
order,  showing  the  address  of each  stockholder  and the  number  of  shares
registered  in the  name of each  stockholder.  Such  list  shall be open to the
examination of any stockholder,  for any purpose germane to the meeting,  during
ordinary  business hours for a period of at least ten days prior to the meeting,
either at a place  within the city where the meeting is to be held,  which place
shall be specified in the notice of the meeting, or, if not so specified, at the
place where the meeting is to be held. Such list shall also be produced and kept
at the time and place of the meeting  during the whole time thereof,  and may be
inspected by any stockholder who is present.  The stock ledger shall be the only
evidence as to who are the stockholders entitled to examine the stock ledger, to
be included in the list required by this Section 2.12 or to vote in person or by
proxy at any meeting of the stockholders.

     Section 2.13.  Inspectors.  The Board of Directors  may, at or prior to any
                    -----------
meeting  of the  stockholders,  appoint  one or more  inspectors  to act at such
meeting or any adjournment thereof. If the inspectors are not so appointed or if
any of them fails to appear or act,  the chairman of the meeting may, and on the
request of any stockholder  entitled to vote thereat shall,  appoint inspectors.
Each inspector,  before  discharging  his or her duties,  shall take and sign an
oath to execute  faithfully  the duties of inspector at such meeting with strict
impartiality  and  according to the best of his or her ability.  The  inspectors
shall  determine the number of shares  represented at the meeting based on their
determination  of the  validity  and effect of proxies,  and the  existence of a
quorum,  and shall receive  votes,  ballots or consents,  hear and determine all
challenges and questions arising in connection with the right to vote, count and
tabulate all votes,  ballots or consents,  determine and report the results, and
perform  such other acts as are proper to conduct the  election  and voting with
fairness to all  stockholders.  On request of the chairman of the meeting or any
stockholder  entitled to vote  thereat,  the  inspectors  shall make a report in
writing of any challenge, request or matter determined by them and shall execute
a certificate  of any fact found by them.  If there is more than one  inspector,
the report or certificate of a majority of the inspectors shall be the report of
the  inspectors.  The report of the  inspector  or  inspectors  on the number of
shares  represented  at the meeting and the results of the voting shall be prima
facie  evidence  thereof.  No director or  candidate  for the office of director
shall act as  inspector  of an election  of  directors.  Inspectors  need not be
stockholders.

     Section 2.14.  Action Without Meeting.  Any action required or permitted to
                    -----------------------
be taken at a meeting of the  stockholders may be taken without a meeting if the
following  are filed with the  records of meetings  of the  stockholders:  (a) a
unanimous  written  consent  which  sets  forth the action and is signed by each
stockholder  entitled  to vote on the  matter;  and (b) a written  waiver of any
right to dissent  signed by each  stockholder  entitled to notice of the meeting
but not entitled to vote at such meeting.  The affirmative vote of the number of
shares  which would be necessary to authorize or take action at a meeting of the
stockholders  pursuant to Section 2.8 is the act of the  stockholders  without a
meeting.  Action taken by written consent is effective when the last stockholder
signs the consent, unless the consent specifies a different effective date.

                                      -30-


         Section 2.15.  Business to be Transacted at Annual Meetings.
                        ---------------------------------------------

               (a) Director Nominations. The Board of Directors, or a nominating
                   ---------------------
committee appointed by the Board  of  Directors,  shall nominate  candidates for
election to the Board of Directors to be elected at meetings of the stockholders
at which directors are to be elected.

               (b) Other Stockholder Proposals.
                   ----------------------------

                   (1)  No business   shall   be   transacted  at   any   annual
meeting  of  the   stockholders  other  than  business that is: (i) specified in
the   Corporation's   notice   of  meeting   (including   stockholder  proposals
included  in   the   Corporation's   proxy   materials   under   Rule  14a-8  of
Regulation  14A  or  any successor  rule  ("Rule  14a-8") under  the  Securities
Exchange Act of 1934,  as  amended  ( the  "Exchange  Act" )),  (ii)   otherwise
brought  before  the   meeting  by   or  at  the  direction  of   the  Board  of
Directors,  or (iii) a proper  subject  for the  meeting  and  which  is  timely
submitted  by  a  stockholder  of  the  Corporation  who  was a  stockholder  of
record  both  at the  time of  the stockholder's  submission and  at the time of
the annual  meeting who  complies  fully with the notice  requirements  set
forth in this Section 2.15(b) in addition to any other applicable law, rule
or regulation applicable to such meeting.

                   (2)  For business  to  be properly submitted by a stockholder
before any annual meeting  under  Section  2.15(b (1)(iii)  above, a stockholder
must give  timely  notice in writing of such  business to the  Secretary of  the
Corporation. To be considered timely, a stockholder's notice must be received by
the Secretary  at the  principal office of  the Corporation not earlier than the
date which is 150 calendar days nor later than the date  which  is  120 calendar
days before the first anniversary of the  date on  which  the  Corporation first
mailed its proxy statement to  stockholders in  connection with the prior year's
annual meeting of the stockholders.

                   (3) If the  Corporation did not hold an annual meeting during
the  previous year, or  if  the date  of  the  applicable  year's annual meeting
has been  advanced  by more than 30  calendar  days or  delayed  by more than 60
calendar  days from the first  anniversary  of the date of the  previous  year's
meeting,  then a  stockholder's  notice must be received  by the  Secretary  not
earlier  than the date which is 150  calendar  days before the date on which the
Corporation  first mailed its proxy statement to the  stockholders in connection
with the  applicable  year's  annual  meeting and not later than the date of the
later to occur of (i) 120 calendar days before the date on which the Corporation
first mailed its proxy  statement to the  stockholders  in  connection  with the
applicable  year's annual meeting of the  stockholders or (ii) ten calendar days
after the Corporation's  first public announcement of the date of the applicable
year's annual meeting of the stockholders.

                   (4) Notwithstanding  anything  in  Section  2.15(b)(2) to the
contrary,  in  the  event  that  the  number of  directors  to be elected to the
Board of  Directors  is  increased  and there is no public  announcement  by the
Corporation  naming all of the nominees for director or  specifying  the size of
the increased Board of Directors at least 70 days prior to the first anniversary
of the preceding year's annual meeting, a stockholder's  notice required by this
Section  2.15(b)  shall  also be  considered  timely,  but only with  respect to
nominees  for  any new  positions  created  by such  increase,  if it  shall  be
delivered  to the  Secretary  of the  Corporation  not  later  than the close of

                                      -31-


business on the tenth day following the day on which such public announcement is
first made by the Corporation.

                   (5) A stockholder's  notice  to  the  Secretary  to  submit a
nomination or  other  business to  an  annual meeting  of the stockholders shall
set  forth:  (i) the name and  address  of the  stockholder;  (ii) the class and
number of shares of stock of the  Corporation  held of record  and  beneficially
owned by such stockholder;  (iii) the name(s),  including any beneficial owners,
and  address(es)  of such  stockholder(s)  in which all such shares of stock are
registered on the stock transfer books of the Corporation; (iv) a representation
that the  stockholder  intends to appear at the meeting in person or by proxy to
submit the business  specified in such notice;  (v) a brief  description  of the
business desired to be submitted to the annual meeting of the stockholders,  the
complete text of any resolutions  intended to be presented at the annual meeting
and the  reasons  for  conducting  such  business  at the annual  meeting of the
stockholders; (vi) any personal or other material interest of the stockholder in
the  business to be  submitted;  (vii) as to each  person  whom the  stockholder
proposes to nominate for election or  reelection  as a director all  information
relating to such person that is required to be  disclosed  in  solicitations  of
proxies for  election  of  directors,  or is  otherwise  required,  in each case
pursuant to  Regulation  14A under the Exchange  Act  (including  such  person's
written  consent  to being  named in the proxy  statement  as a  nominee  and to
serving as a director if elected);  and (viii) all other information relating to
the proposed  business  which may be required to be disclosed  under  applicable
law. In addition,  a  stockholder  seeking to submit such  business at an annual
meeting  of the  stockholders  shall  promptly  provide  any  other  information
reasonably requested by the Corporation.

               (c) General.
                   --------
                   (1) Only those persons who are  nominated in accordance  with
the  procedures  set  forth   in   this  Section  2.15  shall  be  eligible  for
election as directors at an annual  meeting of the  stockholders.  Only business
brought  before the meeting in accordance  with the procedures set forth in this
Section 2.15 shall be conducted at a meeting of the  stockholders.  The chairman
of the meeting  shall have the power and duty to determine  whether a nomination
or any business proposed to be brought before the meeting was made in accordance
with the  procedures  set forth in this Section 2.15 and, if the chairman of the
meeting determines that any proposed nomination or business is not in compliance
with this  Section  2.15,  to  declare  that such  defective  proposal  shall be
disregarded.

                   (2) For purposes of this Section 2.15, "public  announcement"
shall  mean  disclosure  in  a  press  release  reported  by  the Dow Jones News
Service,  Associated  Press,  Business Wire or  comparable  news service or in a
document  publicly  filed by the  Corporation  with the  Securities and Exchange
Commission pursuant to the Exchange Act.

                   (3)  Notwithstanding  the   foregoing   provisions  of   this
Section  2.15,   a  stockholder   shall   also  comply   with   all   applicable
requirements  of state  law,  the  Exchange  Act and the rules  and  regulations
thereunder with respect to the matters set forth in this Section 2.15.

                   (4)  Notwithstanding   the   foregoing   provisions  of  this

                                      -32-

Section 2.15, a  stockholder  who seeks to  have  any  proposal  included in the
Corporation's  proxy materials shall comply with the  requirements of Rule 14a-8
under the  Exchange  Act,  and nothing in this  Section  2.15 shall be deemed to
affect the rights of stockholders to request  inclusion of proposals in, nor the
right of the  Corporation to exclude  proposals  from, the  Corporation's  proxy
statement pursuant to Rule 14a-8 under the Exchange Act.


                                   ARTICLE III
                                    DIRECTORS

     Section 3.1.  General  Powers;  Directors  Holding  Over.  The business and
                   -------------------------------------------
affairs of the Corporation  shall be managed under the direction of its Board of
Directors.  In case of failure to elect  directors  at an annual  meeting of the
stockholders, the directors holding over shall continue to direct the management
of the  business  and  affairs of the  Corporation  until their  successors  are
elected and qualify.

     Section 3.2. Number.  Except as set forth below, the number of directors of
                  -------
the  Corporation  shall be not less than three nor more than nine, as determined
from time to time by the Board of  Directors  of the  Corporation,  who shall be
elected  at the  annual  meeting  of the  stockholders,  except as  provided  in
Section 3.3  below.  If  at  any  time  the  Corporation  has  less  than  three
stockholders,  the number of directors of the Corporation may be less than three
but not less  than the  number  of  stockholders.  Any  action  by the  Board of
Directors or stockholders to reduce the number of directors shall not affect the
tenure of office of any director.

     Section 3.3.  Classes.  The Board of Directors of the Corporation  shall be
                   --------
classified into three classes,  equal or approximately  equal in number.  If the
number of directors  is not  divisible  evenly by three,  the Board of Directors
shall determine the number of directors to be in each class,  with each class to
be approximately  equal in number. Each such class of directors shall be elected
for successive  terms ending at the annual meeting of the stockholders the third
year after election and until his or her successor is elected and qualified.  In
the event of an increase or decrease in the number of directors,  and the number
of  directors  is not  divisible  evenly by three,  the  remaining  directors by
majority  vote shall  determine  the number of  directors to be in each class of
directors,  with each class to be approximately equal in number, to be effective
after  expiration of the remaining  terms of any class which have a reduction in
number due to a decrease in the number of directors.

     Section 3.4. Independent Directors. At least a majority of the entire Board
                  ----------------------
of  Directors  shall  be  Independent  Directors,  as  hereinafter  defined.  An
"Independent  Director"  shall  mean a  director  who is not:  (a) an officer or
employee of the Corporation; (b) the beneficial owner of five percent or more of
any  class of  equity  securities  of the  Corporation,  or of any  entity  that
controls, is controlled by, or is under common control with the Corporation;  or
(c) a person who has a member of his or her immediate  family who has one of the
foregoing relationships with the Corporation.

     Section 3.5. Election And Tenure. Until successors are elected and qualify,
                  --------------------
the Board of Directors consists of the individuals named as initial directors in
the Charter. Each director shall be elected by a plurality of all the votes cast
at a meeting of the stockholders at which a quorum is present, and each director
elected  shall hold office until the end of his or her term as provided  herein,

                                      -33-


and until his or her  successor  is elected  and  qualified  or until his or her
earlier  resignation  or  removal.  Each share of stock may be voted for as many
individuals  as there are  directors  to be elected and for whose  election  the
share is entitled to be voted.

     Section 3.6.  Qualifications.  Each director of the Corporation  shall have
                   ---------------
the qualifications  required by the Charter or these Bylaws.  Directors need not
be residents of the State of Maryland or stockholders of the Corporation.

     Section 3.7. Removal.  Any director may be removed: (a) by the stockholders
                  --------
in accordance with the requirements of the Charter; or (b) by the unanimous vote
of all of the other members of the Board of Directors.

     Section 3.8. Vacancies.  The stockholders may elect a successor to fill any
                  ----------
vacancy on the Board of Directors  which results from the removal of a director.
A director  elected by the stockholders to fill a vacancy which results from the
removal of a director serves for the balance of the term of the removed director
and until such director's successor is elected and qualifies.  A majority of the
remaining directors,  whether or not sufficient to constitute a quorum, may fill
a vacancy  on the  Board of  Directors  that  results  from any cause  except an
increase in the authorized  number of directors.  A majority of the entire Board
of Directors  may fill a vacancy which results from an increase in the number of
directors and,  subject to Section 3.3,  determine the class of such  additional
director or  directors.  A director  elected by the Board of Directors to fill a
vacancy serves until the next annual meeting of the  stockholders and until such
director's successor is elected and qualifies.

     Section  3.9.  Lack of  Directors.  If at any  time,  by reason of death or
                    -------------------
resignation or other cause, the Corporation  should have no directors in office,
then any officer or any  stockholder or an executor,  administrator,  trustee or
guardian of a stockholder, or other fiduciary entrusted with like responsibility
for the  person or estate of a  stockholder  may call a special  meeting  of the
stockholders  in accordance  with the provisions of the Charter or these Bylaws,
and an election of directors may be held in the manner  provided by the Charter,
these Bylaws or the Maryland General Corporation Law.

     Section 3.10. Resignation.  A director may resign at any time by delivering
                   ------------
written notice to the Corporation,  the Board of Directors,  the Chairman of the
Board or the  President.  A resignation  is effective  when notice is delivered,
unless the notice specifies a later effective date.

     Section  3.11.  Quorum.  A majority of the entire Board of Directors  shall
                     -------
constitute a quorum for the  transaction  of business.  If a quorum shall not be
present at any meeting of the Board of  Directors,  a majority of the  directors
present may adjourn the meeting  from time to time,  without  notice  other than
announcement at the meeting, until a quorum shall be present.

     Section 3.12. Annual Meeting.  The annual meeting of the Board of Directors
                   ---------------
for the purpose of electing  officers and transacting such other business as may
be brought  before  the  meeting  shall be held each year as soon as  reasonably
practicable following the annual meeting of the stockholders.  No notice of such
meeting shall be necessary in order to legally constitute the meeting,  provided
a quorum is  present.  Annual  meetings  may be held at such  places,  within or

                                      -34-


outside the State of  Maryland,  as may from time to time be  determined  by the
Board of Directors.

     Section 3.13. Regular Meetings.  Regular meetings of the Board of Directors
                   -----------------
may be held  without  notice  at such  places,  within or  outside  the State of
Maryland, on such dates and at such times as may from time to time be determined
by the Board of Directors.

     Section 3.14. Special Meetings.  Special meetings of the Board of Directors
                   -----------------
may be called by the Chairman of the Board or the  President and shall be called
by the  Secretary  on the written  request of two  directors.  Notice of special
meetings of the Board of Directors  shall be given to each director at least one
day prior to the meeting. Notice need not be in writing. Neither the business to
be  transacted  at,  nor the  purpose  of, any  special  meeting of the Board of
Directors  need be specified in the notice or waiver of notice of such  meeting.
Such  meetings  shall be held at such  places,  within or  outside  the State of
Maryland, on such dates and at such times as may be stated in the notice.

     Section 3.15.  Action Without Meeting.  Any action required or permitted to
                    -----------------------
be taken at a meeting of the Board of  Directors  or of a committee of the Board
of Directors  may be taken  without a meeting,  if a unanimous  written  consent
which  sets  forth the  action  is:  (a)  signed by each  member of the Board of
Directors or  committee;  and (b) filed with the minutes of  proceedings  of the
Board of Directors or committee. The affirmative vote of the number of directors
that would be necessary  to  authorize or take action at a meeting,  pursuant to
Section  3.17,  is the act of the Board of Directors  without a meeting.  Action
taken by written  consent is effective  when the last director signs the consent
unless the consent specifies a different effective date.

     Section 3.16.  Meetings by Telephone.  Members of the Board of Directors or
                    ----------------------
any committee may participate in a meeting by means of a conference telephone or
similar  communications  equipment  provided  all persons  participating  in the
meeting can hear each other at the same time. A director participating in such a
meeting is deemed to be present in person at the meeting.

     Section  3.17.  Majority  Rule.  The action of a majority of the  directors
                     ---------------
present  at a meeting at which a quorum is present is the action of the Board of
Directors unless the Charter,  these Bylaws or the Maryland General  Corporation
Law requires a greater number.

     Section 3.18. Interested Director Transactions.  No contract or transaction
                   ---------------------------------
(including,  without limitation,  a property acquisition or disposition) between
the  Corporation  and any of its directors,  or between the  Corporation and any
other  corporation,  firm or entity in which any of its directors is a director,
or has a material financial interest,  shall be void or voidable solely for this
reason, or solely because the director is present at the meeting of the Board of
Directors or committee  which  authorizes,  approves or ratifies the contract or
transaction,  or solely because his or her vote is counted for such purpose,  if
such interested  director  complies with the requirements of Section 2-419(b) of
the Maryland General  Corporation Law or the contract or transaction is fair and
reasonable to the Corporation. Common or interested directors or the stock owned
by them or by an interested corporation,  firm or other entity may be counted in
determining  the  presence of a quorum at a meeting of the Board of Directors or

                                      -35-

of a committee or at a meeting of the stockholders, as the case may be, at which
the contract or transaction is authorized, approved or ratified.

     Section 3.19. Compensation. The Board of Directors shall have the authority
                   -------------
to fix the  compensation  of directors,  including  compensation  for service on
committees.   The  Board  of  Directors  may  delegate  this  authority  to  its
Compensation  Committee  as set forth in  Section  4.5.  Such  compensation  may
include stock options, restricted stock or other securities awarded under a plan
approved  by the Board of  Directors  or the  stockholders  of the  Corporation.
Directors  shall  be  entitled  to  reimbursement  for any  reasonable  expenses
incurred in attending meetings and otherwise carrying out their duties.

     Section 3.20. Organization. At every meeting of the Board of Directors, the
                   -------------
Chairman  of the Board,  or in the case of a vacancy in the office or absence of
the Chairman of the Board, the President or, in the absence of the President,  a
chairman chosen by a majority of the directors present, shall act as chairman of
the  meeting,  and the  Secretary,  or,  in the  absence  of the  Secretary,  an
Assistant  Secretary,  if any, or any other person  appointed by the chairman of
the meeting, shall act as secretary of the meeting.


                                   ARTICLE IV
                                   COMMITTEES

     Section  4.1.  Appointments  and  Powers.  The  Corporation  shall  have an
                    --------------------------
Executive Committee,  an Audit Committee and a Compensation  Committee.  Each of
the Audit Committee and the Compensation Committee shall have as members no less
than two  Independent  Directors.  In addition,  the Board of Directors  may, by
resolution or resolutions  passed by a majority of the whole Board of Directors,
designate one or more other  committees  composed of one or more directors.  The
Board of Directors may designate one or more directors as alternative members of
a committee who may replace any absent or disqualified  member at any meeting of
the  committee.  Such  alternate  members  shall not be counted for  purposes of
determining  a quorum  unless acting for an absent or  disqualified  member,  in
which case they  shall be  counted  in the place of the  absent or  disqualified
member. The committee,  to the extent provided in said resolution or resolutions
or in these  Bylaws,  shall  have and may  exercise  the  powers of the Board of
Directors in the  management  of the  business  and affairs of the  Corporation,
except  that a  committee  may not:  (i)  authorize  dividends  on shares of the
Corporation's  capital stock; (ii) amend these Bylaws;  (iii) approve any merger
or share exchange which does not require stockholder approval; or (iv) authorize
or approve the issuance or sale or contract  for sale of shares,  except that if
the Board of Directors has given general authorization for the issuance of stock
providing for or  establishing a method or procedure for determining the maximum
number of shares to be issued, such committee may authorize or fix the terms and
conditions of stock subject to classification or reclassification  and the terms
on which any stock may be issued in accordance  with that general  authorization
or any stock option or other plan or program  adopted by the Board of Directors.
Such  committee or committees  shall have such name or names as may be stated in
these Bylaws or as may be determined from time to time by resolution  adopted by
the Board of Directors.  Committees may set their own policies and procedures to
the extent consistent with the Maryland General Corporation Law.

                                      -36-

     Section  4.2.  Minutes.  Committees  shall  keep  regular  minutes of their
                    --------
proceedings and report the same to the Board of Directors when required.

     Section 4.3. Executive Committee.  The Executive Committee shall act in the
                  --------------------
absence of the Board of Directors  and shall be  delegated  all of the powers of
the Board of  Directors  except as limited by the Maryland  General  Corporation
Law.

     Section 4.4. Audit  Committee.  The Audit  Committee shall have the special
                  -----------------
duties described below:

     (a)  The  Audit  Committee  shall  select  and  engage  on  behalf  of  the
Corporation, and fix the compensation of, a firm of independent certified public
accountants  whose  duty it shall be to audit  the  books  and  accounts  of the
Corporation  and  its  subsidiaries  for  the  fiscal  year in  which  they  are
appointed, and who shall report to such Audit Committee.

     (b) The Audit Committee shall confer with the independent  certified public
accountants and shall determine, and from time to time shall report to the Board
of  Directors  upon,  the plans and  results  of the  auditing  of the books and
accounts of the Corporation.

     (c) The  Audit  Committee  shall  review  the  services  provided  by,  the
independence  of,  and the fees  charged  by the  independent  certified  public
accountants,  and from time to time shall  report  upon the same to the Board of
Directors.

     (d) The Audit  Committee  shall  review the  adequacy of the  Corporation's
internal accounting  controls,  and from time to time shall report upon the same
to the Board of Directors.

     (e) The Audit Committee shall have such other powers as may be delegated by
the Board of Directors from time to time.

None of the members of the Audit Committee shall be officers or employees of th
Corporation.

     Section 4.5.  Compensation  Committee.  The  Compensation  Committee  shall
                   ------------------------
establish a general  compensation policy for the Corporation,  shall (subject to
any delegated authority under Section 3.19) approve increases in directors' fees
and shall approve  increases in salaries  paid to officers and senior  employees
earning an annual base salary in excess of $200,000.  The Compensation Committee
shall  have all the  powers of  administration  under  all of the  Corporation's
employee benefit plans,  including any stock  compensation  plans,  bonus plans,
retirement plans, stock purchase plans and medical,  dental and insurance plans.
In connection therewith, the Compensation Committee shall determine,  subject to
the provision of the Corporation's plans, the directors,  officers and employees
of the  Corporation  eligible to participate in any of the plans,  the extent of
such  participation,  and the terms and  conditions  under which benefits may be
vested, received or exercised.

                                      -37-


                                    ARTICLE V
                                     NOTICES

     Section 5.1.  Notice.  Except as otherwise  specifically  provided  herein,
                   -------
notices to the stockholders and directors shall specify the date, time and place
of the  meeting.  Notice is given to a  stockholder  as provided in Section 2.4.
Notice  is  given  to a  director  when  it  is:  (a)  personally  delivered  or
communicated by telephone to the director;  (b) left at the director's residence
or usual place of business; (c) mailed to the director at the director's address
as it  appears on the  records of the  Corporation;  or (d)  transmitted  to the
director by electronic mail to any electronic mail address of the director or by
any other  electronic  means.  If  mailed,  notice  is  deemed to be given  when
deposited  in the United  States mail,  postage  prepaid,  and  addressed to the
director  at  the  director's  address  as it  appears  on  the  records  of the
Corporation.

     Section 5.2.  Waiver of Notice.  Whenever any notice of the time,  place or
                   -----------------
purpose of a meeting is  required  to be given to any  stockholder  or  director
under the  Maryland  General  Corporation  Law, the Charter or these  Bylaws,  a
written  waiver,  signed by the person  entitled to notice and  delivered to the
Corporation and filed with the Corporation's minutes or records,  whether before
or after the time stated therein,  shall be deemed equivalent to notice. Neither
the  business  to be  transacted  at, nor the purpose of, any regular or special
meeting of the stockholders, Board of Directors or members of a committee of the
Board of  Directors  need be specified  in any written  waiver of notice  unless
required by the Charter, these Bylaws or the Maryland General Corporation Law.

     Section 5.3.  Attendance  Constitutes  Waiver.  Attendance of a person at a
                   --------------------------------
regular or special meeting of the stockholders,  the Board of Directors,  or any
committee  of the Board of  Directors  in person or by proxy shall  constitute a
waiver of notice of such meeting,  except when the person  attends a meeting for
the  express  purpose  of  objecting  at the  beginning  of the  meeting  to the
transaction  of any  business  because  the  meeting is not  lawfully  called or
convened.


                                   ARTICLE VI
                                    OFFICERS

     Section 6.1.  Officers.  The officers of the Corporation shall consist of a
                   ---------
Chairman of the Board,  President,  Secretary and  Treasurer,  and may include a
Vice  Chairman  of the  Board,  a Chief  Executive  Officer,  one or  more  Vice
Presidents  (any one or more of which may be designated as a senior or executive
vice  president),  a Chief  Financial  Officer  and one or more  assistant  vice
presidents,   assistant   treasurers,   assistant   controllers   and  assistant
secretaries,  each of whom  shall  be  elected  by the  Board of  Directors.  In
addition,  the Board of  Directors  may from  time to time  appoint  such  other
officers with such powers and duties as they shall deem  necessary or desirable.
Any  number of offices  may be held by the same  person  except  the  offices of
President and Vice President shall not be held by the same person concurrently.

     Section  6.2.  Election.  At the first  meeting  of the Board of  Directors
                    ---------
following the annual meeting of the  stockholders,  or as soon  thereafter as is
conveniently  possible,  the Board of  Directors  shall  elect a Chairman of the
Board,  President,  Secretary and Treasurer and such other additional  officers,

                                      -38-

assistant officers and agents as may be deemed necessary. The Board of Directors
may elect officers at such additional times as it deems advisable.  The election
or appointment of an officer shall not by itself create contract rights.

     Section 6.3. Removal.  If the Board of Directors in its judgment finds that
                  --------
the best interests of the Corporation will be served,  it may remove any officer
or agent  of the  Corporation.  The  removal  of an  officer  or agent  does not
prejudice any of his or her contract rights, if any, with the Corporation.

     Section  6.4.  Term of Office;  Resignation;  Vacancies.  An officer of the
                    -----------------------------------------
Corporation shall serve for the term provided within any applicable contract for
employment or, absent such  contract,  shall serve until his or her successor is
elected and qualified or until his or her earlier  resignation  or removal.  Any
officer  may  resign  at any time upon  written  notice  to the  Corporation.  A
resignation  is  effective  when the  notice is  delivered,  unless  the  notice
specifies a later  effective date. If a resignation is made effective at a later
date and the  Corporation  accepts such later date,  the Board of Directors  may
fill the pending  vacancy  before the  effective  date if it  provides  that the
successor  does  not  take  office  until  the  effective   date.  An  officer's
resignation does not affect the Corporation's  contract rights, if any, with the
officer.  Any  vacancy  occurring  in any  office of the  Corporation  by death,
resignation,  removal or otherwise  shall be filled by the Board of Directors or
by such officer or agent of the  Corporation  to whom the Board of Directors may
expressly delegate such authority.

     Section  6.5.  Chairman  of the Board.  The  Chairman of the Board shall be
                    -----------------------
chosen  from  among the  members of the Board of  Directors,  shall be the Chief
Executive  Officer  of the  Corporation,  shall  perform  such  duties as may be
delegated  by the Board of  Directors  and shall  preside at all meetings of the
stockholders  and the Board of  Directors.  The Chairman of the Board shall have
general  powers and duties of supervision  and management  usually vested in the
office of chairman of the board and chief  executive  officer of a  corporation,
except as modified by the Board of  Directors.  The  Chairman of the Board shall
have  general  supervision,  direction  and  control  of  the  business  of  the
Corporation,  and  shall see that all  orders  and  resolutions  of the Board of
Directors are carried into effect.

     Section 6.6. President.  The President shall have general powers and duties
                  ----------
of  supervision  and  management  usually vested in the office of president of a
corporation,  except as modified by the Board of Directors.  The President shall
have  general  supervision,  direction  and  control  of  the  business  of  the
Corporation,  and  shall see that all  orders  and  resolutions  of the Board of
Directors are carried into effect.  In the absence of the Chairman of the Board,
the President shall preside at all meetings of the stockholders and the Board of
Directors.  The  President  shall have the power to appoint,  remove and suspend
subordinate  officers,  agents and factors upon such terms and  conditions as he
deems  reasonable  and  appropriate.  The  President  shall have such powers and
duties as usually pertain to such office,  except as the same may be modified by
the Board of Directors.

     Section 6.7. Chief Financial Officer.  The Board of Directors may designate
                  ------------------------
a Chief  Financial  Officer from among the elected  officers.  Said officer will
have the  responsibilities and duties as the Board of Directors may from time to
time prescribe or as the President may from time to time delegate.

                                      -39-

     Section 6.8. Vice Presidents.  The Vice Presidents shall, in the absence or
                  ----------------
disability of the  President,  perform the duties and exercise the powers of the
President as determined by the Board of Directors. They shall perform such other
duties and have such  other  powers as the Board of  Directors  may from time to
time prescribe or as the President may from time to time delegate.

     Section  6.9.  Secretary.  The  Secretary  shall attend all meetings of the
                    ----------
Board of Directors and the stockholders,  and record all the proceedings of such
meetings in a book to be kept for that  purpose.  The  Secretary  shall give, or
cause to be given,  notice  of all  meetings  of the  stockholders  and  special
meetings of the Board of  Directors,  and shall perform such other duties as the
Board of Directors may from time to time  prescribe or as the President may from
time to time delegate.

     Section 6.10. Assistant  Secretaries.  The Assistant  Secretaries shall, in
                   -----------------------
the absence or disability of the Secretary,  perform the duties and exercise the
powers of the  Secretary as  determined  by the Board of  Directors.  They shall
perform  such other  duties and have such other powers as the Board of Directors
may from  time to time  prescribe  or as the  President  may  from  time to time
delegate.

     Section 6.11. Treasurer.  The Treasurer shall have custody of the corporate
                   ----------
funds and securities,  and shall keep full and accurate accounts of receipts and
disbursements  in books  belonging  to the  Corporation,  and shall  deposit all
moneys  and  other  valuable  effects  in the  name  and to  the  credit  of the
Corporation in such depositories as may be designated by the Board of Directors.
The Treasurer  shall disburse the funds of the  Corporation as may be ordered by
the Board of Directors, taking proper vouchers for such disbursements, and shall
render to the President and the Board of Directors at its regular  meetings,  or
when the Board of Directors so requires,  an account of all his  transactions as
Treasurer and of the financial condition of the Corporation. The Treasurer shall
perform such other duties and have such other  authority and powers as the Board
of Directors  may from time to time  prescribe or as the President may from time
to time delegate.

     Section 6.12. Assistant Treasurers.  The Assistant Treasurers shall, in the
                   ---------------------
absence or  disability  of the  Treasurer,  perform the duties and  exercise the
powers of the  Treasurer as  determined  by the Board of  Directors.  They shall
perform  such other  duties and have such other powers as the Board of Directors
may from  time to time  prescribe  or as the  President  may  from  time to time
delegate.


                                   ARTICLE VII
                                     SHARES

     Section 7.1.  Certificates For Shares.  The shares of the Corporation shall
                   ------------------------
be represented by certificates which shall be in a form approved by the Board of
Directors  and contain  such  information  as may be  required  by the  Maryland
General  Corporation Law or any securities  exchanges on which any shares of the
Corporation may be listed.

     Section  7.2.  Facsimile  Signatures.  Any or  all  the  signatures  on the
                    ----------------------
certificate  may be  facsimiles.  In case any  officer  who has  signed or whose
facsimile  signature has been placed upon a certificate  shall have ceased to be

                                      -40-

such  officer  before  such  certificate  is  issued,  it may be  issued  by the
Corporation  with the same effect as if he or she were such  officer at the date
of issue.

     Section 7.3. Lost, Stolen or Destroyed Certificates. The Board of Directors
                  ---------------------------------------
may determine the conditions for issuing a new stock certificate in place of any
certificate issued by the Corporation which is alleged to have been lost, stolen
or destroyed.  The Board of Directors may require the owner of the lost,  stolen
or  destroyed  certificate  to give to the  Corporation  a bond with  sufficient
surety to  indemnify  the  Corporation  against  any loss or claim  arising as a
result of the issuance of a new  certificate.  The issuance of a new certificate
under  this  Section  7.3 does not  constitute  an over  issue of the  shares it
represents.

     Section 7.4.  Transfer Of Shares.  Upon surrender to the Corporation or the
                   -------------------
transfer agent of the  Corporation of a certificate  for shares duly endorsed or
accompanied  by proper  evidence  of  succession,  assignment  or  authority  to
transfer,  it shall be the duty of the Corporation to issue a new certificate to
the  person  entitled  thereto,  cancel  the  old  certificate  and  record  the
transaction upon its books.

     Section  7.5.  Record  Date For  Notice  and  Voting.  For the  purpose  of
                    --------------------------------------
determining the stockholders  entitled to notice of or to vote at any meeting of
the  stockholders or any adjournment  thereof,  the Board of Directors may set a
record  date or direct  that the  stock  transfer  books be closed  for a stated
period for the purpose of making any proper  determination  with  respect to the
stockholders.  The record  date shall be not more than 90 days nor less than ten
days before the date on which the action  requiring  the  determination  will be
taken. The transfer books may not be closed for a period longer than 20 days. If
no  record  date is  fixed  by the  Board  of  Directors,  the  record  date for
determining  the  stockholders  entitled to notice of or to vote at a meeting of
the stockholders  shall be the later of: (a) the close of business on the day on
which notice of the meeting is mailed; or (b) the 30th day before the meeting. A
determination  of the stockholders of record entitled to notice of or to vote at
a meeting of the stockholders  shall apply to any adjournment of the meeting not
more than 120 days after the original record date; provided,  however,  that the
Board of Directors may fix a new record date of the adjourned meeting.

     Section 7.6. Record Date For Dividends.  For the purpose of determining the
                  --------------------------
stockholders  entitled to receive payment of any dividend or an allotment of any
rights,  the record date is such date as is determined by the Board of Directors
in accordance with Section 2-511 of the Maryland General Corporation Law.

     Section 7.7.  Stockholders Of Record.  The Corporation shall be entitled to
                   -----------------------
recognize the exclusive rights of a person  registered on its books as the owner
of shares to  receive  dividends,  and to vote as such  owner,  and shall not be
bound to recognize  any equitable or other claim to or interest in such share or
shares on the part of any other person,  whether or not it shall have express or
other notice thereof,  except as otherwise  provided by the laws of the State of
Maryland.

                                      -41-


                                  ARTICLE VIII
                               GENERAL PROVISIONS

     Section 8.1. Dividends and Distributions.  Subject to the provisions of the
                  ----------------------------
Charter and the Maryland General  Corporation Law, the Board of Directors of the
Corporation  may, at any regular or special  meeting,  authorize  the payment of
dividends and other distributions upon the capital stock of the Corporation,  as
and when  the  Board  of  Directors  may deem  expedient.  Dividends  and  other
distributions  may be paid in  cash,  property  or  shares  of the  Corporation,
subject to the provisions of Maryland General Corporation Law and the Charter.

     Section 8.2. Checks,  Notes and Drafts. All checks,  notes, drafts or other
                  --------------------------
orders for the  payment of money,  or other  evidences  of  indebtedness  of the
Corporation  shall be signed by such officer or officers or such other person or
persons as the Board of Directors may from time to time designate.

     Section 8.3. Fiscal Year. The fiscal year of the  Corporation  shall be the
                  ------------
calendar year, unless otherwise fixed by the Board of Directors.

     Section 8.4.  Annual  Statement  Of Affairs.  The  President,  or any other
                   ------------------------------
executive officer of the Corporation designated by the Board of Directors, shall
prepare annually a full and correct statement of the affairs of the Corporation,
to include a balance  sheet and a  financial  statement  of  operations  for the
preceding fiscal year. The statement of affairs shall be submitted at the annual
meeting of the  stockholders  and, within 20 days after such meeting,  placed on
file at the principal office of the Corporation.

     Section 8.5. Statements From Stockholders.  In order to maintain its status
                  -----------------------------
as a real estate  investment  trust under the Internal  Revenue Code of 1986, as
amended (the "Code"),  the  Corporation  shall demand annual written  statements
from the  stockholders  of record  disclosing the actual owners of the shares of
the  Corporation  to  the  extent  required  by  Treasury   Regulation   Section
1.857-8(d).  Such written  statements  from the  stockholders of record shall be
demanded by the Corporation  within 30 days after the close of the Corporation's
taxable year. A list of the persons failing or refusing to comply in whole or in
part with the Corporation's demand for statements shall be maintained as part of
the  Corporation's  records.  The  Corporation  shall also maintain,  within the
Internal Revenue District in which it is required to file its federal income tax
return,  permanent  records showing the information it has received as to actual
ownership  of those  shares and a list of those  persons  failing or refusing to
comply with that demand.  Stockholders of the Corporation  shall comply with the
Corporation's demand for statements pursuant to Section 857 of the Code.


                                   ARTICLE IX
                                   AMENDMENTS

     The Board of  Directors  may amend or repeal any  provision of these Bylaws
without the consent of the stockholders,  unless (i) the Charter or the Maryland
General Corporation Law reserves this power exclusively to the stockholders,  or
(ii) the  stockholders,  in amending or  repealing a particular  bylaw,  provide
expressly  that the Board of Directors  may not amend or repeal that  particular
bylaw.   Notwithstanding   any  of  the   provisions   of  these   Bylaws   (and

                                      -42-


notwithstanding  the fact that a lesser  percentage  may be specified by law, or
these Bylaws) the affirmative  vote of the holders of at least 90% of the common
stock and, if any, preferred stock entitled to vote, voting together as a single
class,  shall be required in order for the  stockholders  to amend or repeal any
provision of these Bylaws.


                                    ARTICLE X
                                 INDEMNIFICATION

     The  Corporation  shall  indemnify and advance  expenses to its  directors,
officers,  employees and agents to the fullest extent  permitted by the Maryland
General  Corporation  Law,  and as  provided  in the  Corporation's  Articles of
Incorporation.  The Corporation may purchase and maintain liability insurance or
make other arrangements for such obligations.


                                   ARTICLE XI
                                 EMERGENCY BYLAW

     In the event that a quorum of directors cannot be readily assembled because
of a  catastrophic  event,  the  Board  of  Directors  may  take  action  by the
affirmative  vote of a majority of those directors  present at a meeting and may
exercise any emergency  power granted to a board of directors under the Maryland
General  Corporation  Law not  inconsistent  with this bylaw. If less than three
regularly  elected  directors  are  present,  the  director  present  having the
greatest  seniority as a director may appoint one or more persons (not to exceed
the number most recently  fixed by the Board pursuant to Section 3.2) from among
the  officers  or  other  executive  employees  of the  Corporation  to serve as
substitute  directors.  If no regularly elected director is present, the officer
present having the greatest  seniority as an officer shall serve as a substitute
director, shall appoint up to four additional persons from among the officers or
other executive  employees of the Corporation to serve as substitute  directors.
Special  meetings of the Board of Directors may be called in an emergency by the
director or, if no director is present at the Corporation's  principal  offices,
by the officer present having the greatest seniority as an officer.

                                      -43-




                                   Exhibit 10

                                      -44-


                                 AMENDMENT NO. 1
                           TERM LOAN CREDIT AGREEMENT


     THIS AMENDMENT NO. 1 dated as of October 14, 1999 (the  "Amendment") to the
Term Loan Credit Agreement  referenced  below, is by and among HEALTHCARE REALTY
TRUST INCORPORATED,  a Maryland corporation, and CAPSTONE CAPITAL CORPORATION, a
Maryland  corporation,  as Borrowers,  the banks identified  therein and BANK OF
AMERICA,  N.A. (formerly known as NationsBank,  N.A.), as Administrative  Agent.
Terms used but not otherwise defined shall have the meaning provided in the Term
Loan Credit Agreement.


                               W I T N E S S E T H

     WHEREAS, a $200 million term loan facility,  consisting of a $187.4 million
Tranche A Term Loan to Healthcare Realty Trust Incorporated  ("HRT") and a $12.6
million Tranche B Term Loan to Capstone Capital Corporation ("CCT", and together
with HRT, the "Borrowers"), was established pursuant to the terms of that Credit
Agreement dated as of October 15, 1998 (as amended and modified,  the "Term Loan
Credit  Agreement")  among  HRT and CCT,  as  Borrowers,  the  banks  identified
therein,  and  NationsBank,  N.A.,  (now  known as Bank of  America,  N.A.),  as
Administrative Agent;

     WHEREAS,  approximately $147.7 million remains outstanding on the Tranche A
Term Loan and the Tranche B Term Loan has been paid;

     WHEREAS, HRT has requested extension of the Tranche A Term Loan and certain
other modifications to the Term Loan Credit Agreement;

     WHEREAS, the Banks have agreed to the requested extension and modifications
on the terms and conditions set forth herein;

     NOW,  THEREFORE,  IN  CONSIDERATION  of the  premises  and  other  good and
valuable  consideration,   the  receipt  and  sufficiency  of  which  is  hereby
acknowledged, the parties agree as follows:

     1. The Term Loan Credit  Agreement is amended and modified in the following
respects:

        1.1 The Tranche A Maturity Date is extended to January 14, 2000.

        1.2 The definition of "Applicable Percentage" is amended to read as
             follows:

            "Applicable  Percentage"  means  for  any  day,  a  rate  per  annum
        equal to (i)  one  and  three-fourths  percent (1.75%) in  the  case  of
        Eurodollar  Loans,  and  (ii)  three-fourths  of  one percent (0.75%) in
        the case of Base Rate Loans.

                                      -45-


        1.3 Notwithstanding  anything to the contrary contained in the Term Loan
     Credit  Agreement,   the Banks  hereby consent to prepayment of up to $16.5
     million on  indebtedness owing to SouthTrust  Bank, N.A.  provided that the
     principal  balance of  the  Tranche  A Term  Loan  is at such time [$63.45]
     million or less.

     2. This  Amendment  shall be  effective upon  satisfaction of the following
conditions:

        (a)  receipt by the Agent of executed signature pages from the Banks and
     the Borrowers; and

        (b)  receipt by the Agent for the  ratable  benefit of the Banks holding
     the Tranche A Term Loan an amendment fee of twenty five basis points(0.25%)
     on the  outstanding  principal  balance of the Tranche A Term Loan.

     3. HRT will deliver to  the  Agent on  or before October 30, 1999 certified
copies of resolutions  and  other  documentation  evidencing  approval  of  the
transactions  contemplated in this Amendment and a legal opinion of counsel  for
the Borrowers, in form reasonably  satisfactory to the Agent  and the Banks, and
including,  among other things, enforceability of this Amendment.

     4. Except as modified  hereby, all of the terms and  provisions of the Term
Loan Credit  Agreement (including  schedules and  exhibits) shall remain in full
force and effect.

     5. The Borrowers  agree to pay all  reasonable  costs  and expenses  of the
Agent  in  connection  with  the  preparation,  execution and  delivery of  this
Amendment,including the reasonable fees and expenses of Moore & Van Allen, PLLC.

     6. This  Amendment  may  be  executed in any number of  counterparts,  each
of which when so executed and  delivered  shall be deemed  an original,  and  it
shall not be  necessary  in making proof of this Amendment to produce or account
for more than one such counterpart.

     7. This  Amendment  shall be governed by and construed in  accordance  with
the laws of the State of North Carolina.




                  [Remainder of Page Intentionally Left Blank]

                                      -46-

     IN  WITNESS  WHEREOF,  each of the  undersigned  parties  has  caused  this
Amendment to be executed as of the day and year first above written.

BORROWERS:                             HEALTHCARE REALTY TRUST INCORPORATED,
                                       a Maryland corporation

                                       By: ________/s/________________________
                                       Name:  Timothy G. Wallace
                                       Title:    Executive Vice President

AGENT:                                 BANK OF AMERICA,  N.A. (formerly known as
                                       NationsBank,  N.A.), as Agent under the
                                       Term Loan Credit Agreement

                                       By:__________________________________
                                       Name:
                                       Title:

BANKS:                                 BANK OF AMERICA, N.A. (formerly known as
                                       NationsBank, N.A.)

                                       By:__________________________________
                                       Name:
                                       Title:

                                      -47-

ACKNOWLEDGED & AGREED:

GUARANTORS:                   DURHAM MEDICAL OFFICE BUILDING, INC.,
                              a Texas corporation
                              HEALTHCARE REALTY SERVICES INCORPORATED,
                              an Alabama corporation
                              HR ASSETS, INC., a Texas corporation
                              FIR CAPITAL, INC., a Texas corporation
                              HR FUNDING, INC., a Texas corporation
                              HR INTERESTS, INC., a Texas corporation
                              HR OF TEXAS, INC., a Maryland corporation
                              HRT OF ALABAMA. INC., an Alabama corporation
                              HRT OF DELAWARE, INC., a Delaware corporation
                              HRT OF FLORIDA, INC., a Florida corporation
                              HRT OF ROANOKE, INC. a Virginia corporation
                              HRT OF TENNESSEE, INC., a Tennessee corporation
                              HRT OF VIRGINIA, INC., a Virginia corporation
                              PENNSYLVANIA HRT, INC., a Pennsylvania corporation
                              HR of SAN ANTONIO, INC., a Texas corporation


                              By: /S/______________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President
                              for each of the foregoing subsidiaries

                              PASADENA MEDICAL PLAZA SSJ, LTD.,
                              A Florida limited partnership

                              By:  Healthcare Realty Trust Incorporated,
                              a Maryland corporation


                              By:/S/____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President

                              SAN ANTONIO SSP, LTD., a Texas limited partnership

                              By:  SSP San Antonio, Inc., a Texas corporation,
                              as General Partner


                              By: /S/_____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President

                              HR ACQUISITION I CORPORATION,
                              f/k/a Capstone Capital Corporation,

                                      -48-


                              a Maryland corporation
                              CAPSTONE CAPITAL OF ALABAMA, INC.,
                              an Alabama corporation
                              CAPSTONE-CAPITAL OF BAYTOWN, INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL OF BONITA BAY, INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL OF CALIFORNIA, INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL OF CAPE CORAL, INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL OF KENTUCKY, INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL OF LAS VEGAS, INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL OF LOS ANGELES, INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL OF MASSACHUSETTS. INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL OF PENNSYLVANIA, INC.,
                              a Pennsylvania corporation
                              CAPSTONE CAPITAL OF SARASOTA, INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL OF TEXAS, INC
                              an Alabama corporation
                              CAPSTONE CAPITAL OF VIRGINIA. INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL PROPERTIES, INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL SENIOR HOUSING, INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL OF OCOEE, INC.,
                              an Alabama corporation
                              CAPSTONE CAPITAL OF PORT ORANGE, INC.,
                              an Alabama corporation

                              By: /S/________________________________
                              Name:  Roger O. West
                              Title:  Executive Vice President

         for each of the foregoing subsidiaries of HR Acquisition I Corporation;

                              CAPSTONE OF BONITA BAY, LTD., an Alabama limited
                              partnership

                              By:  CAPSTONE CAPITAL OF BONITA BAY, INC.,
                              an Alabama corporation, as General Partner

                                      -49-



                              By: /S/_____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President


                              CAPSTONE OF LOS ANGELES, LTD., an Alabama limited
                              partnership

                              By: CAPSTONE CAPITAL OF CALIFORNIA, INC., an
                              Alabama Corporation,  as General Partner

                              By: /S/____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President
                              CAPSTONE OF CAPE CORAL, LTD., an Alabama limited
                              partnership

                              By: CAPSTONE CAPITAL OF CAPE CORAL. INC.. an
                              Alabama corporation, as General Partner

                              By: /S/____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President

                              CAPSTONE OF LAS VEGAS, LTD., an Alabama limited
                              partnership

                              BY: CAPSTONE CAPITAL OF LAS VEGAS, INC., an
                              Alabama corporation, as General Partner

                              By: /S/____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President

                                      -50-


                              CAPSTONE OF SARASOTA.. LTD., an Alabama limited
                              partnership

                              By: CAPSTONE CAPITAL OF SARASOTA, INC., an Alabama


                              By: /S/____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President

                              CAPSTONE CAPITAL OF SAN ANTONIO. LTD., an Alabama
                              limited partnership

                              By: CAPSTONE CAPITAL OF TEXAS, INC., an Alabama
                              corporation, as General Partner

                              By: /S/____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President

                              CAPSTONE OF VIRGINIA LIMITED PARTNERSHIP, an
                              Alabama limited partnership

                              BY CAPSTONE CAPITAL OF VIRGINIA, INC., an Alabama
                              corporation, as General Partner

                              By: /S/____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President

                              CAPSTONE OF OCOEE, LTD., an Alabama limited
                              partnership

                              By: CAPSTONE CAPITAL OF OCOEE, INC., an Alabama
                              corporation, as General Partner

                              By: /S/____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President

                                      -51-



                              CAPSTONE OF PORT ORANGE, LTD., an Alabama limited
                              partnership

                              By: CAPSTONE CAPITAL OF PORT ORANGE, INC., an
                              Alabama corporation, as General Partner

                              By: /S/____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President

                              CAP-BAY IV, LTD., an Alabama limited partnership

                              BY: CAPSTONE CAPITAL SENIOR HOUSING, INC., an
                              Alabama corporation, as General Partner

                              By: /S/____________________________
                              Name:  Roger O. West
                              Title:   Executive Vice President

                              CAP-BAY V, LTD., an Alabama limited partnership

                               By: CAPSTONE CAPITAL SENIOR HOUSING, INC., an
                               Alabama corporation, as General Partner

                               By: /S/____________________________
                               Name:  Roger O. West
                               Title:   Executive Vice President

                               CAP-BAY VII, LTD., an Alabama limited partnership

                               By: CAPSTONE CAPITAL SENIOR HOUSING, INC., an
                               Alabama corporation, as General Partner

                               By: /S/____________________________
                               Name:  Roger O. West
                               Title:   Executive Vice President

                               CAP-BAY VIII, LTD., an Alabama limited
                               partnership

                               By: CAPSTONE CAPITAL OF CALIFORNIA, INC.,
                               an Alabama Corporation, as General Partner

                               By: /S/____________________________
                               Name:  Roger O. West
                               Title:   Executive Vice President

                                      -52-