Our 22-OR surgical department here at Johns Hopkins Hospital in Baltimore is preparing for an expansion into a new facility. Once it's completed, a few years from now, our department will have moved into two new hospital towers containing 30 new ORs. Clearly, this move will create significant changes in the way our department functions and the way our staff does business. As a result, it's necessitated considerable advance planning to make sure the new facility will meet our day-to-day needs.