Exhibit 32

      CERTIFICATION OF CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER
      PURSUANT TO RULE 13a-14(b) UNDER THE SECURITIES EXCHANGE ACT OF 1934
                           AND 18 U.S.C. SECTION 1350
      AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with this quarterly report on Form 10-Q of Medical Properties
Trust, Inc. (the "Company") for the quarter ended September 30, 2005 (the
"Report"), each of the undersigned, Edward K. Aldag, Jr. and R. Steven Hamner,
certifies, pursuant to Section 18 U.S.C. Section 1350, that:

      1.    The Report fully complies with the requirements of Section 13(a) or
            15(d) of the Securities Exchange Act of 1934; and

      2.    The information contained in the Report fairly presents, in all
            material respects, the financial condition and results of operations
            of the Company.

Date: November 9, 2005                    /s/ Edward K. Aldag, Jr.
                                          --------------------------------------
                                          Edward K. Aldag, Jr.
                                          hairman, President and
                                          hief Executive Officer

                                          /s/ R. Steven Hamner
                                          --------------------------------------
                                          R. Steven Hamner
                                          Executive Vice President and
                                          Chief Financial Officer