Trauma care is one of the most complex health system infrastructures in the US. Depending on the type of injury sustained, a patient may require multidisciplinary intervention from any and/or every medical and surgical specialty, as well as all branches of allied health professionals, at a moment's notice. Given these requirements, the notion to physically move an entire trauma care center, from its staff and patient populations to its equipment, records, and maintenence operations, is a daunting challenge. At Penn Medicine, this monumental task was recently undertaken and completed successfully. Leading the effort was Garry L. Scheib, Chief Operating Officer of the University of Pennsylvania Health System, and Executive Director of the Hospital of the University of Pennsylvania. He joins host Frank Russomano to reflect on lessons learned from overseeing one of the biggest trauma care transition projects in American history.