We're able to do a large number of procedures in a short amount of time because I give every surgeon two ORs with which to work. After 20 years as a one-OR surgical center specializing in ophthalmology, we built a second OR in 2003 to accommodate the increase in case volume. We tried scheduling both ORs at the same time. The nature of cataract surgery is that it's a short process, though, and when we had two doctors operating, we found we were running out of beds for pre- and post-op. That just wasn't going to work. Within a month, we came up with a better idea.