Whether your operating room design project involves renovation, new construction, or a little of both, operating room equipment layout planning and implementation strategies can be challenging, with available technologies representing a staggering array of options. Having a clear understanding of your own facility's future goals is a big step toward arriving at the best solution to meet your facility's growth needs. The most successful plan involves a team effort and multidisciplinary input from key clinical end users and support personnel. The goal should always be maximum flexibility and adaptability to anticipated future needs.