Authentic leadership is a pattern of leadership behavior that, by possessing positive psychological abilities, can create a special place for service organizations. The purpose of this study was to identify and prioritize the factors influencing the establishment of authentic leadership in the University of Medical Sciences through hierarchical analysis. The purpose of the study is practical and based on qualitative-quantitative approach. The statistical population of the study consisted of Philosophers of Management and Experimental Experts at the University of Medical Sciences who were selected by purposeful sampling and snowball technique until theoretical saturation was reached. The data collection tool was semi-structured interview. Based on the theme analysis technique, MAXQDA11 software identified effective factors on authentic leadership approach and then identified the factors identified by AHP using Expert Choice11 software. The findings showed that among the 13 effective factors considered by experts, the factor of supportive authenticity has the most influence on the implementation of authentic leadership approach in medical sciences university and economic conditions have the least weight or importance. Based on this, it is possible to establish a authentic leadership approach in the University of Medical Sciences by establishing a flexible, service-oriented and flexible structure, in addition to creating a transparent and reliable atmosphere.