Once you've decided to build an ASC, among the next and most important decisions you face is "who is going to help me build this thing?" Do not try to go it alone; advises Larry Patterson, a Tennessee ophthalmologist who is currently building his second surgery center. "This is not like opening an office. There are so many state and federal regulations. You might be able to do it yourself, but it's much cheaper to keep seeing patients and hire someone else to do this." Here's some advice on picking: