Every day a new set of issues will greet you at the door. The computers are down, the surgeons are late, staff has called in sick, supplies are running low. And, oh yeah, there's a rep waiting in the lobby to see you, and your mother's holding on line one. It never seems to end. But let the crisis du jour preoccupy you and you'll get blind-sided by the bigger factors that really determine the long-term success of your surgical center.